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Organization

LOUISIANA EMERGENCY & TRAUMA SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT JOHN DIETZ (VP OPERATIONS)
(225) 756-6900
Entity
Organization

Contact information

Practice address
3600 FLORIDA BLVD, BATON ROUGE, LA 70803
(225) 387-7000
Mailing address
14141 AIRLINE HWY, SUITE P, BATON ROUGE, LA 70817
(225) 756-6900

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1444871
LA
Enumeration date
07/04/2006
Last updated
08/22/2020
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