Organization
BATON ROUGE INTERVENTIONAL PAIN MANAGEMENT LLC
Active
Organization
BATON ROUGE INTERVENTIONAL PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY S. MCDANIEL JR. MD (OWNER)
(225) 442-3166
Entity
Organization
Contact information
Practice address
4460 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70809-9658
(225) 442-3166
Mailing address
PO BOX 77878, BATON ROUGE, LA 70879-7878
(225) 442-3166
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
01/08/2020
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