Individual
DR. MATTHEW WILLIAM AUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
5339 ODONOVAN DR, BATON ROUGE, LA 70808-4388
(225) 766-4999
Mailing address
5339 ODONOVAN DR, BATON ROUGE, LA 70808-4388
(225) 766-4999
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
30046
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
327407
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2015
Last updated
06/03/2022
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