STEPHEN WARD ETHEREDGE M.D.
Individual Provider (NPI-1)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1629212972- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA, 708107827
- Phone
- (225) 924-2424
- Fax
- (225) 408-7980
Specialties & Taxonomies
Family Medicine
License: FL #TRN 13458
Family Medicine, Sports Medicine
Primary License: LA #MD.205635