Organization
PULMONARY DISEASE CLINIC SLEEP COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON TODD VIATOR PH.D (ADMINISTRATOR)
(225) 766-1163
Entity
Organization
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 216, BATON ROUGE, LA 70808-4300
(225) 766-1163
Mailing address
7777 HENNESSY BLVD, SUITE 216, BATON ROUGE, LA 70808-4300
(225) 766-1163
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
08/28/2006
Last updated
08/22/2020
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