Individual
DR. CLYDE JOSEPH PATRONI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 358-3940
(225) 358-3939
Mailing address
10437 SPRINGPARK AVE, BATON ROUGE, LA 70810-0767
(225) 757-6320
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
AS3351311-4178
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1075817
—
LA
Enumeration date
08/20/2007
Last updated
08/20/2007
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