Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD.204148 | LA |
NPI | 1003059569 |
---|---|
Provider Name | Sarah Buzhardt |
First Address | Baton Rouge, LA 70817-5100 |
Second Address | Baton Rouge, LA 70817-5100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2009 |
Last Update Date | 15/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1974145 | (05) | LA |