Individual
DR. JON GARWOOD TRAXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8080 BLUEBONNET BLVD, STE. 2121, BATON ROUGE, LA 70810-7827
(225) 767-7200
(225) 767-7386
Mailing address
604 N ACADIA RD STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(985) 447-2497
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
09944R
LA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
09944R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1971138
—
LA
Enumeration date
10/19/2005
Last updated
03/06/2024
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