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Individual

DR. WALTER L BRINGAZE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7777 HENNESSY BLVD STE 8001, BATON ROUGE, LA 70808-4300
(225) 490-7224
(225) 490-7223
Mailing address
7777 HENNESSY BLVD STE 8001, BATON ROUGE, LA 70808-4300
(225) 490-7224
(225) 490-7223

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
017225
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00111813
MS
05
1354716
LA
Enumeration date
04/14/2006
Last updated
01/22/2021
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