Individual
MYLES LANDON JAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12525 PERKINS RD, SUITE A, BATON ROUGE, LA 70810-1907
(225) 761-4256
(225) 761-4034
Mailing address
12525 PERKINS RD, SUITE A, BATON ROUGE, LA 70810-1907
(225) 761-4256
(225) 761-4034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BPI-0040681
TX
207Q00000X
Family Medicine Physician
Primary
DO000390
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1-0040681
PIT
TX
Enumeration date
03/11/2013
Last updated
03/26/2021
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