Individual
DR. STEPHEN CLARK PRUDHOMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
828 MYRTLE VIEW DR, BATON ROUGE, LA 70810-4226
(225) 767-3409
(225) 767-3409
Mailing address
828 MYRTLE VIEW DR, BATON ROUGE, LA 70810-4226
(225) 767-3409
(225) 767-3409
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
020659
LA
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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