Organization
VASCULAR SPECIALTY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAOMI D NELSON MHA (COO)
(225) 769-4493
Entity
Organization
Contact information
Practice address
8888 SUMMA AVE FL 3, BATON ROUGE, LA 70809-3720
(225) 769-4493
(225) 766-3144
Mailing address
8888 SUMMA AVE FL 3, BATON ROUGE, LA 70809-3720
(225) 769-4493
(225) 766-3144
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1795445
—
LA
01
—
DR2923
RAILROAD MEDICARE
LA
Enumeration date
01/20/2010
Last updated
11/04/2016
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