Organization
DYNAMIC SPINAL IMAGING OF BATON ROUGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CONDOS PHD (PRESIDENT)
(337) 244-3590
Entity
Organization
Contact information
Practice address
7922 SUMMA AVE, SUITE 4, BATON ROUGE, LA 70809-3475
(337) 244-3590
Mailing address
7922 SUMMA AVE, SUITE 4, BATON ROUGE, LA 70809-3475
(337) 244-3590
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2016
Last updated
10/16/2016
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