Provider Demographics
NPI:1962661934
Name:DRUMWRIGHT, JOHN RICHARD (MD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:RICHARD
Last Name:DRUMWRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 N CITIES SERVICE HWY STE B
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70663-7502
Mailing Address - Country:US
Mailing Address - Phone:337-626-1011
Mailing Address - Fax:337-626-0656
Practice Address - Street 1:299 N CITIES SERVICE HWY STE B
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70663-7502
Practice Address - Country:US
Practice Address - Phone:337-626-1011
Practice Address - Fax:337-626-0656
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL02919R174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist