Individual
MATTHEW CHAD DEERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD, STE 6003, GME PROGRAM, BATON ROUGE, LA 70808-4300
(225) 765-3368
(225) 765-3497
Mailing address
7777 HENNESSY BLVD, STE 6003, GME PROGRAM, BATON ROUGE, LA 70808-4300
(225) 765-3368
(225) 765-3497
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
GEPT.200925
LA
Other
Enumeration date
08/23/2011
Last updated
09/07/2011
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