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Organization
DYNAMIC SPINAL IMAGING OF BATON ROUGE, LLC
Active
Organization
DYNAMIC SPINAL IMAGING OF BATON ROUGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CONDOS PHD (PRESIDENT)
(337) 244-3590
Entity
Organization
Contact information
Practice address
7922 SUMMA AVE, SUITE 4, BATON ROUGE, LA 70809-3475
(337) 244-3590
Mailing address
7922 SUMMA AVE, SUITE 4, BATON ROUGE, LA 70809-3475
(337) 244-3590
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2016
Last updated
10/16/2016
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