Organization
ELISE SCALLAN MD LLC
Active
Other names
PATRICIA ELISE SCALLAN, MD
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY WHEAT (ADMINISTRATION)
(225) 767-7200
Entity
Organization
Contact information
Practice address
8080 BLUEBONNET BLVD, SUITE 2121, BATON ROUGE, LA 70810-7827
(225) 767-7200
(225) 767-7386
Mailing address
8080 BLUEBONNET BLVD, SUITE 2121, BATON ROUGE, LA 70810-7827
(225) 767-7200
(225) 767-7386
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
023856
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1485705
—
LA
Enumeration date
03/04/2010
Last updated
07/19/2010
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