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 |
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| LBN Legal business name | WEST JEFFERSON PHYSICIAN SERVICES | ||||
| Authorized official | HEIDI GWINN - (CREDENTIALING COORD.) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/29/2006 | ||||
| Last updated | 09/11/2025 - About 9 months ago | ||||
| Identifiers |
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WEST JEFFERSON PHYSICIAN SERVICES
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| JOY R HALL, MD 4901 VETERANS MEMORIAL BLVD METAIRIE, LA |