JOHN BRETTON BRANTLEY

BATON ROUGE, LA
NPI1629006630
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: LA  013362)
Additional Taxonomies207NP0225X Dermatology Pediatric Dermatology
(Licence: LA  013362)
207NS0135X Dermatology Procedural Dermatology
(Licence: LA  013362)
Enumeration Date2006-06-29
Last Update Date2010-02-09
Business Address
JOHN BRETTON BRANTLEY MD
5220 FLANDERS DRIVE
BATON ROUGE, LA 70808
Phone number: 225-766-5151
Mailing Address
JOHN BRETTON BRANTLEY MD
5220 FLANDERS DRIVE
BATON ROUGE, LA 70808
Phone number: 225-766-5151