Individual
DR. EDMOND FRANKLIN TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5247 DIDESSE DR, BATON ROUGE, LA 70808-9153
(225) 765-3076
(225) 765-3090
Mailing address
5247 DIDESSE DR, BATON ROUGE, LA 70808-9153
(225) 765-3076
(225) 765-3090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
202121
LA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
202121
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1175315
—
LA
Enumeration date
09/27/2006
Last updated
08/04/2010
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