JOHN ALANSON FUDICKAR

BATON ROUGE, LA
NPI1841218484
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.A10367.RX)
Enumeration Date2006-07-18
Last Update Date2012-03-13
Business Address
-- JOHN ALANSON FUDICKAR PA
12525 PERKINS RD SUITE B
BATON ROUGE, LA 70810-1907
Phone number: 225-819-8857
Mailing Address
-- JOHN ALANSON FUDICKAR PA
7777 HENNESSY BLVD SUITE 1004-154
BATON ROUGE, LA 70808-4300
Phone number: 225-214-9352