Westside Clinics Anc

NPI #1265433320 in Marrero, Louisiana

Provider Information

NPI Number: 1265433320
Entity Type: Organization
Organization Name: Westside Clinics Anc
Primary Specialty: Pediatrics
Enumeration Date: Aug 10, 2005
Last Updated: Jun 26, 2015

Practice Location

Address: 4225 LAPALCO BLVD
City: Marrero
State: Louisiana
ZIP Code: 70072
Phone: (504) 391-7337

Authorized Official

Name: AVERY H SAMPSON, MD
Title: MANAGING PHYSICIAN & PRESIDENT
Phone: (504) 391-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X
Pediatrics	208000000X	Primary

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