CHARLES KEITH RICHARD

BATON ROUGE, LA
NPI1225272545
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: LA  205076)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2009-04-30
Last Update Date2012-02-15
Business Address
-- CHARLES KEITH RICHARD
5825 AIRLINE HWY
BATON ROUGE, LA 70805-2408
Phone number: 318-840-3800
Mailing Address
-- CHARLES KEITH RICHARD
5825 AIRLINE HIGHWAY
BATON ROUGE, LA 70805
Phone number: 318-840-3800