Organization
WEILER PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYANT VOTH (DIRECTOR OF OPERATIONS)
(225) 399-0001
Entity
Organization
Contact information
Practice address
4212 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70809-9675
(225) 399-0001
Mailing address
4212 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70809-9675
(225) 399-0001
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD.025994
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007595
—
LA
Enumeration date
09/24/2009
Last updated
03/17/2018
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