Individual
RICHARD NEIL FOOTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4808 MOORLAND LN, SUITE 103, BETHESDA, MD 20814-6110
(301) 215-7778
(301) 215-4561
Mailing address
8017 SUMMER MILL CT, BETHESDA, MD 20817-2962
(301) 320-6303
(301) 215-4561
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0027550
MD
174400000X
Specialist
MD14379
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428361900
—
MD
01
—
482910
MEDICARE
—
Enumeration date
08/21/2006
Last updated
09/24/2009
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