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Individual

MR. ROBERT MCBRIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
5253 DIJON DR, SUITE A, BATON ROUGE, LA 70808-4312
(225) 768-1611
(225) 768-1615
Mailing address
5253 DIJON DR, SUITE A, BATON ROUGE, LA 70808-4312
(225) 768-1611
(225) 768-1615

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
01891
LA
367H00000X
Anesthesiologist Assistant
Primary
058866
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1977896
LA
Enumeration date
04/04/2007
Last updated
07/08/2007
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