Provider Demographics
NPI:1316905193
Name:POUNDS, RICHARD A (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:A
Last Name:POUNDS
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 1:750 E 34TH ST
Mailing Address - Street 2:UNIVERSITY MEDICAL CENTER MESABI
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746
Mailing Address - Country:US
Mailing Address - Phone:218-262-4881
Mailing Address - Fax:218-362-6702
Practice Address - Street 1:750 E 34TH ST
Practice Address - Street 2:UNIVERSITY MEDICAL CENTER MESABI
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746
Practice Address - Country:US
Practice Address - Phone:218-262-4881
Practice Address - Fax:218-362-6702
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO344522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN54227OtherMN BOARD OF MEDICAL PRACTICE
MN54227OtherMN BOARD OF MEDICAL PRACTICE