Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN CLARK PRUDHOMME, M.D.
Active Sole ProprietorDR. STEPHEN CLARK PRUDHOMME, M.D. is a Body Imaging healthcare provider located in BATON ROUGE, Louisiana. NPI 1699072678 is currently active in the NPPES registry. Verify at CMS.
Body Imaging · BATON ROUGE, LA
Registration Details
- NPI Number
- 1699072678
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2011 (15.463616074503 yrs)
- Last Updated
- Feb 28, 2011
- License
-
020659 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
828 MYRTLE VIEW DRBATON ROUGE, LA, 708104226Browse LA providers · Browse ZIP 70810
- Phone
- 2257673409
- Fax
- 2257673409
- Primary Specialty
-
Body Imaging
2085B0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.