Organization
RICHARD D. SMITH, JR., MD, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD DOUGLAS SMITH JR. M.D. (PRESIDENT)
(318) 329-1180
Entity
Organization
Contact information
Practice address
3510 MAGNOLIA CV, SUITE 120, MONROE, LA 71203-2372
(318) 329-1180
(318) 329-2950
Mailing address
3510 MAGNOLIA CV, SUITE 120, MONROE, LA 71203-2372
(318) 329-1180
(318) 329-2950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05728R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05728R
STATE LICENSE
LA
05
—
1340910
—
LA
01
—
16614
ST. CONTROL SUBSTANCE
LA
01
—
5L781
MEDICARE ID
LA
Enumeration date
03/22/2007
Last updated
03/07/2023
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