Individual
KONSTANTINE JEGOROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA/CST
Contact information
Practice address
8585 PICARDY AVE, BATON ROUGE, LA 70809-3748
(225) 763-4000
Mailing address
11688 HIDEAWAY ST, DENHAM SPRINGS, LA 70726-1101
(225) 247-0807
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
147775
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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