Individual
DR. JEFFREY ELTING DEYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3489
(225) 763-6337
(225) 374-4661
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0002
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
15187R
LA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
15187R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1193500
—
LA
Enumeration date
09/12/2005
Last updated
08/31/2021
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