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7815 Maple St New Orleans LA 70118-3960 | |
(504) 388-7463 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 7815 Maple St, New Orleans, Louisiana |
Authorized Official Name and Position | Mark Morris (OWNER) |
Authorized Official Contact | 5043887463 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 8600 New Orleans LA 70182-8600 Ph: (504) 388-7463 | 7815 Maple St New Orleans LA 70118-3960 Ph: (504) 388-7463 |
NPI Number | 1912345067 |
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Provider Enumeration Date | 06/11/2013 |
Last Update Date | 06/11/2013 |
Identifier | Type | State | Issuer |
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1912345067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 9291 (Louisiana) | Primary |
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