Individual
JUSTIN THOMAS ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7777 HENNESSY BLVD STE 1008, BATON ROUGE, LA 70808-4368
(225) 766-0416
(225) 769-9212
Mailing address
7777 HENNESSY BLVD STE 1008, BATON ROUGE, LA 70808-4368
(225) 766-0416
(225) 769-9212
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
313415
LA
Other
Enumeration date
06/26/2019
Last updated
07/24/2023
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