Organization
JON G TRAXLER, MD LLC
Active
Other names
Job G Traxler, MD
Organization subpart
No
Provider details
NPI number
Authorized official
JON G TRAXLER MD (OWNER)
(225) 767-7200
Entity
Organization
Contact information
Practice address
8080 BLUEBONNET BLVD, BATON ROUGE, LA 70810-7827
(225) 767-7200
(225) 767-7386
Mailing address
8080 BLUEBONNET BLVD, BATON ROUGE, LA 70810-7827
(225) 767-7200
(225) 767-7386
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
09944R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1971138
—
LA
Enumeration date
02/14/2012
Last updated
02/14/2012
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