Organization
LOUISIANA INSTITUTE OF PHYSICAL MEDICINE & FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY WARD M.D. (PROVIDER)
(225) 766-1616
Entity
Organization
Contact information
Practice address
8338 SUMMA AVE, STE 500, BATON ROUGE, LA 70809-3669
(225) 766-1616
(225) 766-2645
Mailing address
PO BOX 84330, BATON ROUGE, LA 70884
(225) 766-1616
(225) 766-2645
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
08510R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174480700
ACS-DEPT OF LABOR
LA
01
—
G1573
BLUE CROSS BLUE SHIELD
LA
Enumeration date
05/18/2006
Last updated
05/02/2016
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