Organization
ELISE SCALLAN MD LLC
Active
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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