Organization
PHILLIP P CRACE MD FACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP P CRACE MD (OWNER/MD)
(225) 930-0060
Entity
Organization
Contact information
Practice address
10440 HOOPER RD, BATON ROUGE, LA 70818-3203
(225) 930-0060
(225) 952-9075
Mailing address
PO BOX 14149, BATON ROUGE, LA 70898-4149
(225) 930-0060
(225) 952-9075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD206664
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2351389
—
LA
Enumeration date
08/24/2015
Last updated
08/26/2015
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