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NPI Code Detail

MEDICARE: DAVID DRISCOLL

MEDICARE: DAVID DRISCOLL
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
1171WH0202XHome Modifications Contractor880125LA

General Provider Information

NPI Number : 1740665637
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID DRISCOLL
Provider Business Mailing Address
First Line : 932 SAINT ANN ST
Second Line :
City : MARRERO
State : LA
Zip : 70072-2402
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 932 SAINT ANN ST
Second Line :
City : MARRERO
State : LA
Zip : 70072-2402
Country : US
Telephone Number : 504-439-0387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2015
Last Update Date : 07/21/2015

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Directions to “ DAVID DRISCOLL ” Practice Location

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