Medical Plaza Ent Physicians a Professional Medical Corp

NPI #1124283163 in Metairie, Louisiana

Provider Information

NPI Number: 1124283163
Entity Type: Organization
Organization Name: Medical Plaza Ent Physicians a Professional Medical Corp
Primary Specialty: Otolaryngology
Enumeration Date: Jul 18, 2008
Last Updated: Jun 21, 2022

Practice Location

Address: 4228 HOUMA BLVD
Address 2: SUITE 110
City: Metairie
State: Louisiana
ZIP Code: 70006-3000
Phone: (504) 455-3434

Authorized Official

Name: GLENDA DANTIN
Title: OFFICE MANAGER
Phone: (504) 455-3434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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