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Contact Information

MYRON E MOOREHEAD II, MD
200 W ESPLANADE AVE
SUITE 311
KENNER, LA70065-2474
 Phone: 504-467-0770
 Fax: 504-467-0791
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MYRON E MOOREHEAD II · (Male)

NPI # 1104993708
Status Active
Credentials MD
Entity Individual
Enumeration date 11/29/2006
Last updated 09/20/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # MD4222R
  • LA Other 092522606 CONTROLLED SUBSTANCE LIC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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