Provider Demographics
NPI:1902266489
Name:SAVOIE, JON ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:ANTHONY
Last Name:SAVOIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19527 EAST LAKEWAY AVENUE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-8926
Mailing Address - Country:US
Mailing Address - Phone:225-939-0669
Mailing Address - Fax:225-752-9699
Practice Address - Street 1:19527 EAST LAKEWAY AVENUE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-8926
Practice Address - Country:US
Practice Address - Phone:225-939-0669
Practice Address - Fax:225-752-9699
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA008867207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine