Individual
RONNIE BLISS DUFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 103, BATON ROUGE, LA 70808-4300
(225) 767-6700
(225) 767-6721
Mailing address
7777 HENNESSY BLVD, SUITE 103, BATON ROUGE, LA 70808-4300
(225) 767-6700
(225) 767-6721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.200206
LA
363AM0700X
Medical Physician Assistant
Primary
200206
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1360961
—
LA
Enumeration date
12/10/2008
Last updated
07/12/2017
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