Individual
RICHARD N MEDLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 STATE ST, NEW ALBANY, IN 47150-4929
(812) 282-3899
(812) 282-4173
Mailing address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3748
(812) 282-3899
(812) 282-4173
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01043575A
IN
208800000X
Urology Physician
29716
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200122970
—
IN
01
—
340013659
RR MCR
KY
05
—
64297161
—
KY
01
—
P00229858
RR MCR
IN
Enumeration date
10/04/2005
Last updated
01/03/2020
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