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NPI Code Detail

MEDICARE: OCHSNER CLINIC LLC

MEDICARE: OCHSNER CLINIC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1407251903
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCHSNER CLINIC LLC
Provider Business Mailing Address
First Line : 1514 JEFFERSON HWY
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70121-2429
Country : US
Telephone Number : 504-842-4000
Fax Number :
Provider Business Practice Location Address
First Line : 13100 RIVER RD
Second Line :
City : DESTREHAN
State : LA
Zip : 70047-5219
Country : US
Telephone Number : 985-764-7669
Fax Number :
Authorized Official
Title or Position : AVP
Name : KATHERINE CARDWELL
Credential :
Telephone Number : 504-842-7208
Provider Enumeration Date : 10/27/2014
Last Update Date : 10/25/2016

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Directions to “OCHSNER CLINIC LLC ” Practice Location

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