Individual
GLENN JOHN BARRAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 CLINIC DR, DONALDSONVILLE, LA 70346-4309
(225) 765-5500
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5500
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD308263
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054069
CDS
LA
01
—
308263
STATE LICENSE
LA
Enumeration date
03/23/2016
Last updated
10/07/2024
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