Individual
FRITZ HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7810 BAJA DR, BATON ROUGE, LA 70811-7735
(225) 324-3136
(225) 356-0381
Mailing address
7810 BAJA DR, BATON ROUGE, LA 70811-7735
(225) 324-3136
(225) 356-0381
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
49250
LA
171W00000X
Contractor
Primary
880039
LA
Other
Enumeration date
04/27/2014
Last updated
04/27/2014
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