Organization
MASTOLOGY CENTER, INC
Active
Organization
MASTOLOGY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LANGE ELLIOTT M.D. (DOCTOR)
(225) 755-3070
Entity
Organization
Contact information
Practice address
541 SHADOWS LN STE C, BATON ROUGE, LA 70806-6559
(225) 755-3070
(225) 755-3085
Mailing address
541 SHADOWS LN STE C, BATON ROUGE, LA 70806-6559
(225) 755-3070
(225) 755-3085
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
3326R
LA
Other
Enumeration date
10/25/2006
Last updated
02/24/2020
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