Organization
SOUTHEAST LOUISIANA VETERANS HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE BUTH MD (ASSOCIATE CHIEF OF STAFF CLINICS)
(504) 568-0811
Entity
Organization
Contact information
Practice address
7968 ESSEN PARK, BATON ROUGE, LA 70809-7439
(225) 761-6700
Mailing address
10348 MARANATHA ACRES, SAINT AMANT, LA 70774-4425
(225) 761-6792
(225) 761-6070
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP03606
LA
Other
Enumeration date
07/30/2006
Last updated
08/22/2020
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