Individual
DR. JOHN ROBERT GODKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5825 AIRLINE HWY, EKL HOSPITAL, BATON ROUGE, LA 70805
(225) 381-2755
(225) 381-2759
Mailing address
8585 PICARDY AVE SUITE 313, BATON ROUGE, LA 70809
(225) 635-6916
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD.025376
LA
207RP1001X
Pulmonary Disease Physician
Primary
MD.025376
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1575445
—
LA
Enumeration date
07/27/2006
Last updated
02/10/2017
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