Peiton Derogers

NPI #1568015576 in Baton Rouge, Louisiana

Provider Information

NPI Number: 1568015576
Entity Type: Individual
Name: Peiton Derogers
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician
Enumeration Date: Jul 18, 2019
Last Updated: Jul 18, 2019

Practice Location

Address: 5850 FLORIDA BLVD
City: Baton Rouge
State: Louisiana
ZIP Code: 70806-4247
Phone: (225) 201-0696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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