Individual
CASEY CORNER ODO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2840 FLORIDA BLVD, BATON ROUGE, LA 70802-2721
(225) 224-8690
Mailing address
9034 SOUTHLAWN DR, BATON ROUGE, LA 70810-2680
(318) 305-5573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
312955
LA
Other
Enumeration date
06/10/2019
Last updated
05/10/2021
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