| Traille Medical Specialties, Llc | |
|
606 Colonial Dr Suite A Baton Rouge LA 70806-6535 | |
| (225) 330-4956 | |
| (225) 364-2062 |
| Full Name | Traille Medical Specialties, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 606 Colonial Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | James A Roedema (CEO) |
| Authorized Official Contact | 2256784471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Traille Medical Specialties, Llc 623 S Burgess Dr Baton Rouge LA 70815-5202 Ph: (225) 678-4471 | Traille Medical Specialties, Llc 606 Colonial Dr Suite A Baton Rouge LA 70806-6535 Ph: (225) 330-4956 |
| NPI Number | 1366816761 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 11/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366816761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 53785 (Louisiana) | Primary |
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