Organization
EUGENE AND OLEANDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA RAI CLARK MD (OWNER)
(985) 226-1606
Entity
Organization
Contact information
Practice address
11715 BRICKSOME AVE STE A6, BATON ROUGE, LA 70816-2307
(225) 246-7136
(225) 302-7015
Mailing address
1604 LICHESTER DR, BATON ROUGE, LA 70810-0503
(985) 226-1606
(225) 302-7015
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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