Individual
DR. RICHARD G SALOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1757 IMPERIAL BLVD., LAKE CHARLES, LA 70605-5362
(337) 310-2832
Mailing address
13523 BARRETT PARKWAY DRIVE, SUITE 104, BALLWIN, MO 63021-3802
(636) 938-6868
(636) 938-1486
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0020032
AL
207L00000X
Anesthesiology Physician
13983
MS
207L00000X
Anesthesiology Physician
MD.016283
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00127037
—
MS
01
—
201397813A
BCBS
MS
Enumeration date
04/25/2006
Last updated
04/28/2011
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