Individual provider · Type 1 NPI
Stephen Clark Prudhomme, MD
Body Imaging Physician · Baton Rouge, LA
NPI number
1699072678
Active
Practice location
828 Myrtle View Dr
Baton Rouge, LA 70810-4226
Fax (225) 767-3409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | 020659 (LA) |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
About NPI 1699072678
Stephen Clark Prudhomme, MD's National Provider Identifier is 1699072678, issued on Feb 28, 2011. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Baton Rouge, LA. The record was last updated on Feb 28, 2011.