Individual
DR. JOHN N. RICHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 203, SHREVEPORT, LA 71118-3133
(318) 688-9955
(318) 688-9929
Mailing address
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 203, SHREVEPORT, LA 71118-3133
(318) 688-9955
(318) 688-9929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.010298
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1169439
—
LA
01
—
720819375711180000
TRICARE
LA
Enumeration date
12/14/2006
Last updated
07/08/2007
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