Individual
DR. JOHN DEWAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10310 THE GROVE BLVD, BATON ROUGE, LA 70836-6455
(225) 388-6630
Mailing address
10310 THE GROVE BLVD, BATON ROUGE, LA 70836-6455
(225) 388-6630
(225) 761-5702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101028098
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
347471
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470553011-00
—
NE
Enumeration date
06/22/2021
Last updated
10/17/2025
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