Individual
DR. JARED MICHAEL FABRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17000 MEDICAL CENTER DR, DEPARTMENT OF EMERGENCY MEDICINE, BATON ROUGE, LA 70816-3246
(225) 755-4858
Mailing address
17000 MEDICAL CENTER DR, DEPARTMENT OF EMERGENCY MEDICINE, BATON ROUGE, LA 70816-3246
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
203395
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1090549
—
LA
Enumeration date
06/11/2008
Last updated
03/21/2012
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