Individual
ROY F BRABHAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 FLORIDA BLVD, BATON ROUGE, LA 70806-3842
(225) 281-2669
(985) 892-7070
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
(985) 892-7017
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD.013301
LA
208200000X
Plastic Surgery Physician
Primary
MD.013301
LA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
MD.013301
LA
Other
Enumeration date
12/21/2012
Last updated
01/29/2018
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