Individual
DR. ROGER GORDON WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808
(225) 757-0552
(225) 763-9997
Mailing address
6650 BURDEN LN, BATON ROUGE, LA 70808-4209
(225) 767-3924
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
014223
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1347094
—
LA
Enumeration date
04/12/2006
Last updated
04/21/2014
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