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6521 Spanish Fort Blvd New Orleans LA 70124-4321 | |
(504) 842-3000 | |
(504) 842-6901 |
Full Name | |
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Speciality | General Practice |
Location | 6521 Spanish Fort Blvd, New Orleans, Louisiana |
Authorized Official Name and Position | Scott J Posecai (EVP-CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5048423000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 54851 New Orleans LA 70154-4851 Ph: (504) 842-3000 | 6521 Spanish Fort Blvd New Orleans LA 70124-4321 Ph: (504) 842-3000 |
NPI Number | 1134328107 |
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Provider Enumeration Date | 07/11/2007 |
Last Update Date | 07/11/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134328107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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