Individual
DR. MICHAEL JOHN SAMPOGNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BANCROFT CR, MONROE, LA 71201-5101
(318) 966-8400
(318) 966-8401
Mailing address
5959 S SHERWOOD FOREST BLVD STE 355, BATON ROUGE, LA 70816-6038
(318) 966-8400
(225) 765-6916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017752
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1368946
—
LA
Enumeration date
06/27/2006
Last updated
09/03/2024
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