Patrice Jenne Tyson, MD Valid NPI

Individual provider · Pediatric Gastroenterology Physician · Baton Rouge, LA

NPI

1558569764

Type

Individual (Type 1)

Primary specialty

Pediatric Gastroenterology Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2080P0206X

License number

MD.025783 (LA)

Sex

Female

Sole proprietor

No

Enumerated

2007-07-10

Last updated

2013-10-25