Individual
RICHARD J PADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1340 BROAD AVE, SUITE 210, GULFPORT, MS 39501
(228) 575-1600
(228) 575-1603
Mailing address
PO BOX 1810, GULFPORT, MS 39502
(228) 575-1600
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
015310
LA
208800000X
Urology Physician
Primary
32690
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1335169
—
LA
Enumeration date
08/18/2005
Last updated
02/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us