Individual
DR. DONNA BRIAN FARGASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9311A BLUEBONNET BLVD, BATON ROUGE, LA 70810-2806
(225) 769-5551
(225) 769-5583
Mailing address
9311A BLUEBONNET BLVD, BATON ROUGE, LA 70810-2806
(225) 769-5551
(225) 769-5583
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
023078
LA
2084P0804X
Child & Adolescent Psychiatry Physician
023078
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1484059
—
LA
Enumeration date
03/16/2007
Last updated
09/03/2013
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