Individual
DR. JAMES ROBERT UPP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8200 CONSTANTIN BLVD STE 220, BATON ROUGE, LA 70809-3481
(225) 769-2295
(225) 769-2297
Mailing address
7777 HENNESSY BLVD, SUITE 212, BATON ROUGE, LA 70808-4300
(225) 769-2295
(225) 769-2297
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
017200
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1925128
—
LA
Enumeration date
04/25/2006
Last updated
06/25/2020
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