Organization · Type 2 NPI
Brent O Campanella, MD
Clinic/Center · Baton Rouge, LA
NPI number
1104095959
Active
Practice location
5131 Essen Ln
Baton Rouge, LA 70809-3541
Fax (225) 769-0133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1104095959
Brent O Campanella, MD's National Provider Identifier is 1104095959, issued on Feb 26, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Feb 26, 2008.