Individual
JONATHAN MARK RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 HENNESSY BLVD, STE. 701, BATON ROUGE, LA 70808-4300
(225) 765-5864
(225) 765-2013
Mailing address
7777 HENNESSY BLVD, STE. 701, BATON ROUGE, LA 70808-4300
(225) 765-5864
(225) 765-2013
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD.204090
LA
207RP1001X
Pulmonary Disease Physician
MD.204090
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07353292
—
MS
05
—
1469050
—
LA
Enumeration date
06/13/2008
Last updated
05/28/2021
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