Individual
DALE J MORVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8212 KELWOOD AVE, BATON ROUGE, LA 70806
(225) 929-7210
(225) 930-7524
Mailing address
100 MEDICAL CENTER BLVD, SLIDELL, LA 70461
(225) 929-7210
(225) 930-7524
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
014777
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1335576
—
LA
Enumeration date
09/22/2006
Last updated
07/09/2007
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