Individual
DR. BUFORD EUGENE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 1008, BATON ROUGE, LA 70808-4300
(225) 766-0416
(225) 769-9212
Mailing address
2717 E LAKESHORE DR, BATON ROUGE, LA 70808-2151
(225) 387-2707
(225) 387-2718
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
02607R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00019705
—
MS
05
—
1130907
—
LA
Enumeration date
04/14/2006
Last updated
08/25/2010
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