Provider Demographics
NPI:1588664718
Name:MEYER, RICHARD L JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:L
Last Name:MEYER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3434 PRYTANIA ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3532
Mailing Address - Country:US
Mailing Address - Phone:504-897-7877
Mailing Address - Fax:504-897-7814
Practice Address - Street 1:3434 PRYTANIA ST
Practice Address - Street 2:SUITE 310
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3532
Practice Address - Country:US
Practice Address - Phone:504-897-7877
Practice Address - Fax:504-897-7814
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2015-07-20
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Provider Licenses
StateLicense IDTaxonomies
LA016774207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAB89858Medicare UPIN