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Individual

DR. BRANDON SCOTT ST. AMANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 757-0552
(225) 763-9997
Mailing address
8230 SUMMA AVE STE C, BATON ROUGE, LA 70809-3421
(225) 757-0552
(225) 763-9997

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.202014
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1170488
LA
01
AD3999W
MEDICARE
FL
Enumeration date
12/15/2006
Last updated
06/05/2015
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