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Individual

ALEXANDER TODD RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
(985) 630-2334
Mailing address
905 BEAUREGARD PKWY, COVINGTON, LA 70433-8162

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
313123
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2414402
LA
Enumeration date
04/15/2016
Last updated
06/23/2021
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