Organization
ADVANCED VIDEOSCOPIC SURGERY OF BATON ROUGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DRAKE ERIC BELLANGER MD (OWNER)
(225) 819-0983
Entity
Organization
Contact information
Practice address
9094 PERKINS ROAD, SUITE A, BATON ROUGE, LA 70810
(225) 819-0983
(225) 819-0986
Mailing address
9094 PERKINS ROAD, SUITE A, BATON ROUGE, LA 70810
(225) 819-0983
(225) 819-0986
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
00017405
AL
208600000X
Surgery Physician
Primary
11666R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1697486
—
LA
Enumeration date
07/06/2006
Last updated
08/22/2020
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