Individual
DR. JOHN C STOVALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
642 SHADOWS LN, BATON ROUGE, LA 70806-6532
(225) 927-9277
(225) 927-9930
Mailing address
642 SHADOWS LN, BATON ROUGE, LA 70806-6532
(225) 927-9277
(225) 927-9930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2879
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G5120
BLUE CROSS
LA
Enumeration date
07/05/2006
Last updated
07/08/2007
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