| |
3439 Prytania St Ste 502 New Orleans LA 70115 | |
(504) 897-8272 | |
(504) 897-7433 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3439 Prytania St Ste 502, New Orleans, Louisiana |
Authorized Official Name and Position | Ryan David Klotzbach (BILLING MANAGER) |
Authorized Official Contact | 5047382431 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3439 Prytania St Ste 502 New Orleans LA 70115 Ph: (504) 897-8272 | 3439 Prytania St Ste 502 New Orleans LA 70115 Ph: (504) 897-8272 |
NPI Number | 1134341753 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134341753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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