Individual
BRIAN PAUL LOGARBO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8415 GOODWOOD BLVD, SUITE 202, BATON ROUGE, LA 70806
(225) 765-8013
(225) 765-2033
Mailing address
8300 CONTANTIN BLVD., 2ND FLOOR ADMINISTRATION, BATON ROUGE, LA 70809
(225) 374-1317
(225) 374-1611
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
323070
LA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/27/2020
Last updated
06/20/2024
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