| Brent O Campanella, Md | |
|
5131 Essen Ln Baton Rouge LA 70809-3541 | |
| (225) 769-0043 | |
| (225) 769-0133 |
| Full Name | Brent O Campanella, Md |
|---|---|
| Speciality | Clinic/center |
| Location | 5131 Essen Ln, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Brent O Campanella (DOCTOR) |
| Authorized Official Contact | 2257690043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent O Campanella, Md 5131 Essen Ln Baton Rouge LA 70809-3541 Ph: (225) 769-0043 | Brent O Campanella, Md 5131 Essen Ln Baton Rouge LA 70809-3541 Ph: (225) 769-0043 |
| NPI Number | 1104095959 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104095959 | NPI | - | NPPES |
| 1393053 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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