Basic Information
Provider Information
NPI: 1831237494
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINCHER
FirstName: RICHARD
MiddleName: WILSON
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: FINCHER
OtherFirstName: RICHARD
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 2
Mailing Information
Address1: 5959 S SHERWOOD FOREST BLVD
Address2:  
City: BATON ROUGE
State: LA
PostalCode: 708166038
CountryCode: US
TelephoneNumber: 3189664541
FaxNumber: 2257659196
Practice Location
Address1: 309 JACKSON ST
Address2:  
City: MONROE
State: LA
PostalCode: 712017407
CountryCode: US
TelephoneNumber: 3189664541
FaxNumber: 3189664543
Other Information
ProviderEnumerationDate: 02/02/2007
LastUpdateDate: 08/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X019420LAN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
208M00000X019420LAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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