Healthcare Provider Details

I. General information

NPI: 1255489829
Provider Name (Legal Business Name): DRS. STAUDINGER AND WALSH, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 NAPOLEON AVE SUITE 640
NEW ORLEANS LA
70115-6969
US

IV. Provider business mailing address

2820 NAPOLEON AVE SUITE 640
NEW ORLEANS LA
70115-6969
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-1327
  • Fax: 504-897-1364
Mailing address:
  • Phone: 504-897-1327
  • Fax: 504-897-1364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number15860
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number16010
License Number StateLA

VIII. Authorized Official

Name: MRS. JULIE M. PEREZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 504-897-1327