Individual
DR. MITCH MONTELARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5439 AIRLINE HWY, BATON ROUGE, LA 70805-1712
(225) 358-4853
(225) 358-2350
Mailing address
18169 E PETROLEUM DR, BUILDING 9, BATON ROUGE, LA 70809-6104
(225) 765-5247
(225) 490-7516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
026041
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057231
—
LA
Enumeration date
07/17/2006
Last updated
04/28/2021
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