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M V John M D LLC — NPI 1376054726, Baton Rouge, LA | NPI Central

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NPI 1376054726

OrganizationActive

M V John M D LLC

NPI 1376054726 · Non-Pharmacy Dispensing Site · Baton Rouge, LA

Provider details

NPI number: 1376054726
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Organization subpart: No
Authorized official: Mackenzie Hahn, Ncpdp Coordinator(479) 636-9702
License: MD202152 (LA)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense MD202152 (LA)
Suppliers

Practice location

4021 W E Heck Ct.

Building M-1

Baton Rouge, LA 70816

Phone: (479) 636-9702

Fax: (877) 427-2307

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

Po Box 3328

Bentonville, AR 72712

Other names (DBA / former)

Doing business as: Interventional Spine and Rehabilitation of Louisiana

Registry dates

Enumerated: 2017-10-12
Last updated: 2017-11-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.