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NPI Profile for CHILDRENS HOSPITAL MEDICAL PRACTICE CORPORATION in NEW ORLEANS, LA.
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adolescent Medicine |
207QA0000X | 08 | Physician/Family Practice |
| NPI # | 1962712521 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/18/2010 | |
| Last updated | 05/10/2018 - About 8 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION