MEDICARE: DR. RICHARD DARRELL LOUVAR D.O.

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
1	207Q00000X	Family Medicine Physician	01483	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	011918081	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5336687	OTHER		AETNA
3	179301	OTHER		JOHN DEERE HEALTH CARE
4	0000	OTHER		CHAMPUS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	49757	OTHER	IA	BLUE CROSS BLUE SHIELD IA

General Provider Information

NPI Number	:	1871579532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD DARRELL LOUVAR D.O.

Provider Business Mailing Address
First Line	:	1515 42ND ST NE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-3061
Country	:	US
Telephone Number	:	319-395-7878
Fax Number	:	319-395-7898

Provider Business Practice Location Address
First Line	:	1515 42ND ST NE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-3061
Country	:	US
Telephone Number	:	319-395-7878
Fax Number	:	319-395-7898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	01/07/2013

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Directions to “ DR. RICHARD DARRELL LOUVAR D.O.” Practice Location

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