Organization
NEUROSURGERY ASSOCIATES OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY C DENNIS MD (OWNER/ADMINISTRATOR)
(225) 276-0536
Entity
Organization
Contact information
Practice address
7855 HOWELL BLVD, SUITE 130-B, BATON ROUGE, LA 70807-2016
(225) 276-0536
Mailing address
7855 HOWELL BLVD, SUITE 130-B, BATON ROUGE, LA 70807-2016
(225) 276-0536
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
200648
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019119
—
LA
Enumeration date
10/20/2009
Last updated
10/20/2009
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