DR. STEPHEN CLARK PRUDHOMME M.D. NPI 1699072678

NPI Information

NPI: 1699072678
Provider Name: DR. STEPHEN CLARK PRUDHOMME, M.D.
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

Address:
828 MYRTLE VIEW DR
BATON ROUGE, LA
ZIP 70810
Phone: (225) 767-3409
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DR. Stephen Clark Prudhomme, M.D. is a body imaging radiology in Baton Rouge, LA. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. DR. Stephen Clark Prudhomme, M.D. NPI is 1699072678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

828 MYRTLE VIEW DR
BATON ROUGE, LA
ZIP 70810-226
Phone: (225) 767-3409
Fax: (225) 767-3409

The enumeration date for this NPI number is 2/28/2011 and was last updated on 2/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	020659	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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