Organization
BATON ROUGE SPORTS MEDICINE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W DUGAS M.D. (SOLE MEMBER)
(225) 216-3047
Entity
Organization
Contact information
Practice address
720 CONNELLS PARK LN, BATON ROUGE, LA 70806-6522
(225) 216-3047
(225) 928-7054
Mailing address
720 CONNELLS PARK LN, BATON ROUGE, LA 70806-6522
(225) 216-3047
(225) 928-7054
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17260
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457281
—
LA
Enumeration date
06/02/2009
Last updated
06/02/2009
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