Individual
DR. MATTHEW M BICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3870 CONVENTION ST, BATON ROUGE, LA 70806-3803
(225) 381-6249
(225) 336-2912
Mailing address
3870 CONVENTION ST, BATON ROUGE, LA 70806-3803
(225) 381-6249
(225) 336-2912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021949
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1682799
—
LA
01
—
1720035124
NPI
LA
01
—
P00469197
RAILROAD
LA
Enumeration date
05/30/2006
Last updated
05/30/2008
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