Individual
DR. RICHARD HENRY GOODELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 HENNESSY BLVD, HOSPITAL MEDICINE SERVICE, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Mailing address
5000 HENNESSY BLVD, HOSPITAL MEDICINE SERVICE, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13788
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1189464
—
LA
Enumeration date
05/19/2006
Last updated
07/08/2007
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