NPI Profile for WEST JEFFERSON PHYSICIAN SERVICES in MARRERO, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Allergy/Immunology |
2080P0201X | 37 | Physician/Pediatric Medicine | |
Pediatric Gastroenterology |
2080P0206X | 37 | Physician/Pediatric Medicine | |
Pediatric Pulmonology |
2080P0214X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1669549283 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/29/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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WEST JEFFERSON PHYSICIAN SERVICES
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