Individual
DR. TARA HOOPER RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3489
(225) 374-1410
(225) 374-1616
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 374-1410
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
026336
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1159123
—
LA
01
—
247622YJJ3
MEDICARE
—
Enumeration date
07/22/2005
Last updated
12/16/2024
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