Individual
DR. PAMELA PARRA BEADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5000 HENNESSY BLVD, OLOL EMERGENCY DEPARTMENT, BATON ROUGE, LA 70808-4375
(225) 765-8080
Mailing address
5000 HENNESSEY BLVD., OLOL EMERGENCY DEPT., BATON ROUGE, LA 70808
(225) 765-8080
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
012984
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035223
—
LA
01
—
P00922631
RRMCARE THRU PEPA
LA
Enumeration date
02/28/2007
Last updated
08/01/2011
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