Stephen Ward Etheredge, M.D. Valid NPI

Individual provider · Sports Medicine (Family Medicine) Physician · Baton Rouge, LA

NPI

1629212972

Type

Individual (Type 1)

Primary specialty

Sports Medicine (Family Medicine) Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QS0010X

License number

MD.205635 (LA)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-04-29

Last updated

2022-08-26