Individual
MR. RICHARD LEROY HEYER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 SOUTH GLOSTER STREET, TUPELO, MS 38801
(662) 377-4394
(662) 377-7045
Mailing address
PO BOX 3294, TUPELO, MS 38803
(662) 377-4394
(662) 377-7045
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10283
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017066
—
MS
Enumeration date
07/12/2006
Last updated
07/08/2007
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