Individual
DR. RICHARD W AWTREY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2820 NAPOLEON AVE, SUITE 720, NEW ORLEANS, LA 70115-6969
(504) 896-8670
(504) 896-8699
Mailing address
1111 MEDICAL CENTER BLVD, SUITE S-450, MARRERO, LA 70072-3151
(504) 349-6423
(504) 349-6062
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
025602
LA
207RG0100X
Gastroenterology Physician
20193
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08022373
—
MS
05
—
1042927
—
LA
01
—
P00209745
MEDICARE RR
LA
Enumeration date
07/09/2006
Last updated
11/14/2013
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