Organization
CORE CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAJOR MITTENDORF PA-C (MANAGING PARTNER)
(225) 756-2676
Entity
Organization
Contact information
Practice address
10059 N. REIGER ROAD, BATON ROUGE, LA 70809
(225) 456-2330
(225) 456-2301
Mailing address
10059 N REIGER RD, BATON ROUGE, LA 70809-4559
(225) 456-2330
(225) 456-2301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
01/26/2012
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