Individual
DR. MICHAEL BARRETTO DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-4050
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
206216
LA
207Q00000X
Family Medicine Physician
4301097358
MI
208M00000X
Hospitalist Physician
Primary
206216
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2351656
—
LA
Enumeration date
08/23/2010
Last updated
03/26/2024
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