Individual
DANIELLE B BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8415 GOODWOOD BLVD STE 202, BATON ROUGE, LA 70806-7851
(225) 374-4325
Mailing address
8300 CONSTANTIN BLVD FL 2, BATON ROUGE, LA 70809-3489
(225) 374-4325
(225) 765-2033
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
9177
GA
208600000X
Surgery Physician
999999999
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
341529
LA
Other
Enumeration date
03/29/2016
Last updated
05/08/2024
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