Individual
DR. RODERICK A. HART SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 NORTH BLVD, BATON ROUGE, LA 70806-3825
(601) 454-9462
Mailing address
3801 NORTH BLVD, BATON ROUGE, LA 70806-3825
(601) 454-9462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GETP
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-09177-4
—
LA
05
—
1091774
—
LA
01
—
P00775057
RAILROAD MCARE THRU PEPA
LA
Enumeration date
02/16/2008
Last updated
02/08/2010
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