Organization
BATON ROUGE RADIOLOGY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE C BRIGNAC (CORPORATE COMPLIANCE MANAGER)
(225) 769-6700
Entity
Organization
Contact information
Practice address
5422 DIJON DR, BATON ROUGE, LA 70808-4315
(225) 769-9337
Mailing address
PO BOX 14530, BATON ROUGE, LA 70898-4530
(225) 769-6700
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1145998
—
LA
Enumeration date
07/10/2006
Last updated
11/02/2007
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