Individual
BRANDON JAMES RETIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(504) 481-9540
Mailing address
433 ROSA AVE, METAIRIE, LA 70005-3419
(504) 481-9540
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.302935
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2361112
—
LA
Enumeration date
04/22/2014
Last updated
07/21/2022
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