Individual
JOHN R PASSMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2345 ONEAL LN, BATON ROUGE, LA 70816-3317
(225) 754-3278
(225) 754-3255
Mailing address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.A10388
LA
Other
Enumeration date
05/10/2006
Last updated
12/13/2007
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