Provider First Line Business Practice Location Address:
1430 TULANE AVE
Provider Second Line Business Practice Location Address:
DEPT. OF ORTHOPAEDICS, SL-32, ROOM 2070
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70112-2632
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-988-5770
Provider Business Practice Location Address Fax Number:
504-988-3517
Provider Enumeration Date:
02/17/2007