Diagnostic And Interventional Medicine, Llc

NPI 1164811881 - Specialist - 174400000X

NPI Details
NPI 1164811881
Enumeration Date 01/19/2015
Last Updated 04/01/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JEREMY ALLEN JEREMY
Position DOCTOR/ OWNER
Phone (225) 408-2820
Fax (225) 408-2829
Practice Location
15475 AIRLINE HWY
BLDG C
BATON ROUGE LA, 70817-7314, US
Phone (225) 408-2820
Fax (225) 408-2829
Business Location
15475 AIRLINE HWY
BLDG C
BATON ROUGE LA, 70817-7314, US
Phone (225) 408-2820
Fax (225) 408-2829
Toxanomy
Taxonomy Code 174400000X
License State Louisiana
License Number MD204025
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According to our database, Diagnostic And Interventional Medicine, Llc NPI is 1164811881, taxonomy code is 174400000X and license number is MD204025, license state is located at Louisiana. Diagnostic And Interventional Medicine, Llc physically located at 15475 Airline Hwy, Baton Rouge LA, 70817-7314. NPI Number 1033115704 has the healthcare provider type.

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1164811881 NPI number is provided on an as is basis without warranty of any kind. 1164811881 is maintained by the National Plan & Provider Enumeration System. The contents of Diagnostic And Interventional Medicine, Llc are for informational purposes only.