Provider Demographics
NPI:1598917080
Name:RICHARD B. DRUDE, JR., M.D., APMC
Entity Type:Organization
Organization Name:RICHARD B. DRUDE, JR., M.D., APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-327-0476
Mailing Address - Street 1:101 E FAIRWAY DR STE 410
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7505
Mailing Address - Country:US
Mailing Address - Phone:985-327-0476
Mailing Address - Fax:985-327-1982
Practice Address - Street 1:101 E FAIRWAY DR STE 410
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7505
Practice Address - Country:US
Practice Address - Phone:985-327-0476
Practice Address - Fax:985-327-1982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty