Provider First Line Business Practice Location Address:
200 HENRY CLAY AVE
Provider Second Line Business Practice Location Address:
NEUROSURGERY DEPARTMENT
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70118-5720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-896-9568
Provider Business Practice Location Address Fax Number:
504-896-3966
Provider Enumeration Date:
07/07/2006