person
Dr. Richard Gene Gaynor, MD
Primary Care Clinic/Center in Baton Rouge, Louisiana
NPI 1376689323

Richard Gene Gaynor is a Primary Care Clinic/Center based in Baton Rouge, LA and is specialized in Primary Care. Richard Gene Gaynor practices in Baton Rouge, LA and has the professional credentials of MD. The NPI Number for Richard Gene Gaynor is 1376689323 and holds a License No. MD.015433 (Louisiana).

The current practice location address for Richard Gene Gaynor is 2320 Drusilla Ln, Baton Rouge, LA and can be reached out via phone at 225-924-7500 and via fax at 225-924-7501. You can also correspond with Richard Gene Gaynor through the mailing address at 2320 DRUSILLA LN, BATON ROUGE, LA - 70809-1495 (mailing address contact number: 225-924-7500).

Location: 2320 Drusilla Ln, Baton Rouge, LA, 70809-1495
person
Provider Profile Details
NPI Number
1376689323
Provider Name
Richard Gene Gaynor
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2320 Drusilla Ln, Baton Rouge, LA, 70809-1495
Phone Number
225-924-7500
Fax Number
225-924-7501
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
720957732 01 LA CHAMPUS
1309001 05 LA
05756 01 LA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2320 Drusilla Ln
City
State
Zip
70809-1495
Phone Number
225-924-7500
Fax Number
225-924-7501
person
Provider Business Mailing Address Details
Address
2320 Drusilla Ln
City
State
Zip
70809-1495
Phone Number
225-924-7500
Fax Number
225-924-7501
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
MD.015433 (Louisiana)
Definition
Definition to come...
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