Individual provider · Type 1 NPI

Ronnie Bliss Dufour, PA-C

Medical Physician Assistant · Baton Rouge, LA

NPI number 1619112364 Active

Practice location

7777 Hennessy Blvd, Suite 103
Baton Rouge, LA 70808-4300

Fax (225) 767-6721

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.200206 (LA)
Medical Physician Assistant Primary 363AM0700X200206 (LA)

Medical Physician Assistant: Definition to come...

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About NPI 1619112364

Ronnie Bliss Dufour, PA-C's National Provider Identifier is 1619112364, issued on Dec 10, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 12, 2017.