Individual
JASON BOOTH MADATIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 649-8542
Mailing address
12313 PARKRIDGE AVE, BATON ROUGE, LA 70816-4726
(504) 621-7689
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
024943
LA
Other
Enumeration date
02/21/2006
Last updated
08/06/2014
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