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NPI Code Detail

MEDICARE: ERIC STOCKWELL MD

MEDICARE:   ERIC  STOCKWELL  MD
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician321118LA

General Provider Information

NPI Number : 1164926911
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC STOCKWELL MD
Provider Business Mailing Address
First Line : 3001 22ND ST
Second Line :
City : METAIRIE
State : LA
Zip : 70002-4918
Country : US
Telephone Number : 504-949-0450
Fax Number :
Provider Business Practice Location Address
First Line : 3001 22ND ST
Second Line :
City : METAIRIE
State : LA
Zip : 70002-4918
Country : US
Telephone Number : 504-949-0450
Fax Number : 504-290-1146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2018
Last Update Date : 08/06/2025

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Directions to “ ERIC STOCKWELL MD” Practice Location

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