Individual
BYRON JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
7170 BURBANK DR, BATON ROUGE, LA 70820-8752
(225) 320-5090
Mailing address
9655 PERKINS RD # C-237, BATON ROUGE, LA 70810-1533
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
205915
LA
207Q00000X
Family Medicine Physician
D0078134
MD
207Q00000X
Family Medicine Physician
MD042455
DC
Other
Enumeration date
05/25/2011
Last updated
08/18/2021
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