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NPI Code Detail

MEDICARE: RICHARD F. NOREM II M.D.

MEDICARE: RICHARD F. NOREM II M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician020067LA
2208600000XSurgery PhysicianJ3862TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659376895
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD F. NOREM II M.D.
Provider Business Mailing Address
First Line : 301 4TH ST
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-8423
Country : US
Telephone Number : 318-448-1040
Fax Number : 318-448-0548
Provider Business Practice Location Address
First Line : 2495 SHREVEPORT HWY
Second Line :
City : PINEVILLE
State : LA
Zip : 71360-4044
Country : US
Telephone Number : 318-473-0010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 07/03/2024

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