Individual
JAMES E. CRAVEN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD STE 103, BATON ROUGE, LA 70808-4363
(225) 215-2255
(225) 215-2266
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 215-2255
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
23614
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01058309
—
MS
01
—
023614
STATE LICENSE
LA
01
—
026493
CDS
LA
05
—
1483702
—
LA
Enumeration date
06/16/2005
Last updated
08/18/2023
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