Leo Blaize III MD
NPI #1952475311 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1952475311
- Entity Type
- Organization
- Organization Name
- Leo Blaize III MD
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Nov 21, 2007
Practice Location
- Address
- 7777 HENNESSY BLVD
- Address 2
- STE 7000
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70808-4300
- Phone
- (225) 765-8829
Authorized Official
- Name
- MYRTHA AVANTS
- Title
- SR REGION OPERATIONS MANAGER
- Phone
- (225) 202-8078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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