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Individual

DR. RICHARD MARK SLATAPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Mailing address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
020085
LA
208M00000X
Hospitalist Physician
020085
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08073511
MS
05
1938556
LA
01
P00020216
RAIL ROAD MEDICARE
LA
Enumeration date
08/02/2005
Last updated
04/13/2021
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