Organization
MOHS SURGERY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN D ANTROBUS M.D. (OWNER)
(225) 763-9611
Entity
Organization
Contact information
Practice address
4950 ESSEN LANE, SUITE 301, BATON ROUGE, LA 70808
(225) 763-9611
(225) 763-9699
Mailing address
4950 ESSEN LANE, SUITE 301, BATON ROUGE, LA 70809
(225) 763-9611
(225) 763-9699
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
435829281B
BLUE CROSS
LA
Enumeration date
03/14/2007
Last updated
09/26/2011
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