# ALTA ENDOCRINOLOGY CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275269078
- **Authorized official:** BRITTANI BREAUX MD (MEMBER/MANAGER)
- **Authorized official phone:** (504) 782-1124

## Contact information

- **Practice address:** 4307 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70809-9643
- **Practice address phone:** (225) 437-2582
- **Mailing address:** 4307 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70809-9643
- **Mailing address phone:** (225) 437-2582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2022
- **Last updated:** 08/01/2022