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NPI Code Detail

MEDICARE: RALPH SAGREAR,MD & BAPTISTE W. BRUNNER, MD, APMC

MEDICARE: RALPH SAGREAR,MD & BAPTISTE W. BRUNNER, MD, APMC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician0040046LA

General Provider Information

NPI Number : 1942205927
Entity Type Code : Organization
Provider Name (Legal Business Name) : RALPH SAGREAR,MD & BAPTISTE W. BRUNNER, MD, APMC
Provider Business Mailing Address
First Line : PO BOX 8815
Second Line :
City : METAIRIE
State : LA
Zip : 70011-8815
Country : US
Telephone Number : 504-277-8265
Fax Number : 504-277-0020
Provider Business Practice Location Address
First Line : 800 W VIRTUE ST
Second Line : STE 204
City : CHALMETTE
State : LA
Zip : 70043-1292
Country : US
Telephone Number : 504-277-8265
Fax Number : 504-277-0020
Authorized Official
Title or Position : SECRETARY/TREASURER
Name : DR. BAPTISTE W. BRUNNER
Credential : M.D.
Telephone Number : 504-277-8265
Provider Enumeration Date : 06/16/2005
Last Update Date : 08/22/2020

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