Organization
PEDAEGIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES COOGAN M.D. (OWNER)
(225) 975-9045
Entity
Organization
Contact information
Practice address
541 SHADOWS LN STE C, BATON ROUGE, LA 70806-6531
(225) 925-2000
(225) 925-2095
Mailing address
541 SHADOWS LN STE C, BATON ROUGE, LA 70806-6531
(225) 925-2000
(225) 925-2095
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD.012264
LA
Other
Enumeration date
06/10/2010
Last updated
04/26/2011
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