Pediatric Clinic Westbank

NPI #1003904236 in Gretna, Louisiana

Provider Information

NPI Number: 1003904236
Entity Type: Organization
Organization Name: Pediatric Clinic Westbank
Primary Specialty: Pediatrics
Enumeration Date: Oct 11, 2006
Last Updated: May 20, 2010

Practice Location

Address: 151 MEADOWCREST ST STE F
City: Gretna
State: Louisiana
ZIP Code: 70056-5256
Phone: (504) 392-9298

Authorized Official

Name: MRS. TAMMY GRAFE
Title: OFFICE MANAGER
Phone: (504) 392-9298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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