Individual
DR. JASON CHRISTOPHER GREMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10310 THE GROVE BLVD, BATON ROUGE, LA 70836-6455
(225) 761-5264
(225) 761-5450
Mailing address
10310 THE GROVE BLVD, BATON ROUGE, LA 70836-6455
(225) 761-5264
(225) 761-5450
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
32006
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2015
Last updated
07/22/2022
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