Organization
DIGESTIVE AND LIVER DISEASE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY DORROH (BILLING AND CODING MANAGER)
(225) 906-2570
Entity
Organization
Contact information
Practice address
6615 PERKINS RD, BATON ROUGE, LA 70808-4261
(225) 906-2570
(225) 906-2578
Mailing address
6615 PERKINS RD, BATON ROUGE, LA 70808-4261
(225) 906-2570
(225) 906-2578
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
04543R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1302767
—
LA
Enumeration date
01/09/2007
Last updated
08/22/2020
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