Individual
DR. RICHARD TAYLOR HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9308 MANSFIELD RD STE 100, SHREVEPORT, LA 71118-3134
(318) 687-6266
(318) 683-1023
Mailing address
9308 MANSFIELD RD, STE 100, SHREVEPORT, LA 71118-3160
(318) 687-6266
(318) 683-1023
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PDR073R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1384691
—
LA
Enumeration date
08/05/2006
Last updated
08/04/2010
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