Individual
ERNEST JAMES MENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 NORTH BLVD, SUITE 200-B, BATON ROUGE, LA 70806-3743
(225) 381-2615
(225) 381-2638
Mailing address
8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04216R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1182061
—
LA
01
—
312433YUB6
MEDICARE PTAN
LA
Enumeration date
12/14/2005
Last updated
04/30/2014
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