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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