Individual
RICHARD M O'DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 WOOD ST, STE A, MONROE, LA 71201-7549
(318) 323-8847
(318) 327-3410
Mailing address
711 WOOD ST, STE A, MONROE, LA 71201-7549
(318) 323-8847
(318) 327-3410
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
08579R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1907090
—
LA
Enumeration date
01/25/2006
Last updated
12/03/2009
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