MEDICARE: ASSOCIATES IN PEDIATRIC AND ADOLESCENT MEDICINE

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
1	2080A0000X	Pediatric Adolescent Medicine Physician

General Provider Information

NPI Number	:	1982876462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATES IN PEDIATRIC AND ADOLESCENT MEDICINE

Provider Business Mailing Address
First Line	:	8040 GOODWOOD BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-7631
Country	:	US
Telephone Number	:	225-928-0867
Fax Number	:	225-928-1948

Provider Business Practice Location Address
First Line	:	8040 GOODWOOD BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-7631
Country	:	US
Telephone Number	:	225-928-0867
Fax Number	:	225-928-1948

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RODGER H ELOFSON II
Credential	:	M.D.
Telephone Number	:	225-928-0867

Provider Enumeration Date	:	03/25/2008
Last Update Date	:	03/25/2008

Similar Medicare Providers

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Practice Location Address:

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1144292731 — DR. SUSAN L RICHARME MD
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1720195290 — DR. DANA ANGELLE FAKOURI M.D.
Practice Location Address:

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1578670063 — DR. BRANNON CHARLES PERILLOUX M.D.
Practice Location Address:

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1700997103 — DR. RODGER HAROLD ELOFSON II M.D.
Practice Location Address:

8040 GOODWOOD BLVD
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1891999611 — DR. LORI MICHELLE COOK M.D.
Practice Location Address:

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Directions to “ASSOCIATES IN PEDIATRIC AND ADOLESCENT MEDICINE ” Practice Location

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