Healthcare Provider Details

I. General information

NPI: 1255570495
Provider Name (Legal Business Name): MAXIME GERALD JOSEPH SAVARD D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 06/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 DRIFTWOOD BLVD
KENNER LA
70065-3574
US

IV. Provider business mailing address

1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2429
US

V. Phone/Fax

Practice location:
  • Phone: 504-443-9500
  • Fax: 225-757-8875
Mailing address:
  • Phone: 504-842-4000
  • Fax: 225-757-8875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberDPM.200030
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO 3359
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: