M V JOHN M D LLC is a non pharmacy dispensing site in Baton Rouge, LA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) M V JOHN M D LLC NPI is 1376054726. The provider is registered as an organization entity type.
The provider Is Doing Business As Interventional Spine And Rehabilitation Of Louisiana.
The provider's business location address is:
4021 W E HECK CT.
BUILDING M-1
BATON ROUGE, LA
ZIP 70816
Phone: (479) 636-9702
Fax: (877) 427-2307
The provider's authorized official is Mackenzie Hahn .
The authorized official title is Ncpdp Coordinator and has the following contact phone number (479) 636-9702.
The CLIA number assigned to this NPI record is 19D2069459 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/12/2017 and was last updated on 11/15/2017.