Doctor Name: | DR. RICHARD FAURES RATHBONE |
NPI Number: | 1821191388 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD.016271 |
Business Practice Address: | 11323 Church St Clinton, LA - 70722 |
Business Phone Number: | 2256833377 |
Business Fax Number: | 2256833370 |
Mailing Address: | 12880 Plank Rd, BAKER |
State: | LA |
Postal Code: | 707144909 |
Phone Number: | 2257747111 |
Fax Number: | 2257718490 |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD.016271 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |