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NPI Code Detail

MEDICARE: CHRISTOPHER HILDEBRANDT PA-C

MEDICARE: CHRISTOPHER HILDEBRANDT PA-C
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
1363A00000XPhysician Assistant326167LA

General Provider Information

NPI Number : 1568040509
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER HILDEBRANDT PA-C
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 : 985-764-6036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2021
Last Update Date : 06/30/2021

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Directions to “ CHRISTOPHER HILDEBRANDT PA-C” Practice Location

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