CLINT M. COSTANZA

BATON ROUGE, LA
NPI1619266954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: LA  PA.200436)
Enumeration Date2011-04-06
Last Update Date2013-04-09
Business Address
Mr. CLINT M. COSTANZA ,PA
9001 SUMMA AVE
BATON ROUGE, LA 70809-3726
Phone number: 225-761-5200
Mailing Address
Mr. CLINT M. COSTANZA ,PA
9001 SUMMA AVE
BATON ROUGE, LA 70809-3726
Phone number: 225-761-5200
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