Provider Demographics
NPI:1093875163
Name:POPLAR, STEPHEN G JR (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:G
Last Name:POPLAR
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2100 SAWMILL RD
Mailing Address - Street 2:APARTMENT 2-303
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-5902
Mailing Address - Country:US
Mailing Address - Phone:985-380-2460
Mailing Address - Fax:985-380-2476
Practice Address - Street 1:500 RODERICK ST
Practice Address - Street 2:SUITE B
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-2247
Practice Address - Country:US
Practice Address - Phone:985-380-2460
Practice Address - Fax:985-380-2476
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
LA0256342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry