Richard E Nordgren, MD Valid NPI
Individual provider · Neurology with Special Qualifications in Child Neurology Physician · Lebanon, NH
- NPI
- 1215948088
- Type
- Individual (Type 1)
- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician (Psychiatry & Neurology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2084N0402X
- License number
- 4710 (NH)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-10
- Last updated
- 2011-08-26
Practice location
1 Medical Center Dr
Lebanon, NH 03756-1000
(603) 653-9669