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Individual

MR. ROBERT FILLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
10423 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 923-0960
(225) 923-3736
Mailing address
10423 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 923-0960
(225) 923-3736

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.A10111.RX
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1179345
LA
05
1508969
LA
Enumeration date
03/21/2006
Last updated
06/12/2020
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