Individual
RICHARD SCOTT BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1203 S TYLER ST, STE 100, COVINGTON, LA 70433-2353
(985) 875-2234
Mailing address
4950 ESSEN LANE, ATTN: KRISTI SIEMANN, BATON ROUGE, LA 70809-3482
(225) 215-1311
(225) 215-1380
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
203474
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811521
—
LA
Enumeration date
08/20/2009
Last updated
12/28/2011
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