Michael J McIntosh, PA-C
Physician Assistant in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1962425686
StatusActive
Last updated in NPPESDec 13, 2007
Details
- NPI
- 1962425686
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael J McIntosh
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Dec 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | A10551.RX | LA | Yes |
Practice location
9001 Summa AveBaton Rouge, LA 70809-3726
Phone 225-761-5200 · Fax 225-761-5558
Mailing address
9001 Summa AveBaton Rouge, LA 70809-3726
Phone 225-761-5200
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