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NPI 1760986442 · Emergency Medicine Physician · Baton Rouge, LA
Provider details
- NPI number
- 1760986442
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- A173557 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5246 Brittany Dr
Baton Rouge, LA 70808-9136
Phone: (225) 757-4142
Fax: (225) 757-4230
Approximate (ZIP-level) locationGet directions
Mailing address
6 Richmond Ln
Blythewood, SC 29016-9088
Registry dates
- Enumerated
- 2018-03-19
- Last updated
- 2023-08-17
- Certified
- 2023-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.