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Organization

STANOCOLA EMPLOYEES MEDICAL & HOSPITAL ASSOC., INC

Active
Other names
Stanocola Radiology
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD VARNADO (CHIEF EXECUTIVE OFFICER)
(225) 952-8730
Entity
Organization

Contact information

Practice address
16777 MEDICAL CENTER DR, SUITE 400, BATON ROUGE, LA 70816-3254
(225) 926-7200
(225) 952-8502
Mailing address
16777 MEDICAL CENTER DR, SUITE 400, BATON ROUGE, LA 70816-3254
(225) 926-7200
(225) 952-8502

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1943118
LA
Enumeration date
02/14/2011
Last updated
02/14/2011
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