Provider First Line Business Practice Location Address:
2400 CANAL STREET
Provider Second Line Business Practice Location Address:
INTERNAL MED- 3 H
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-264-3689
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/06/2012