Neurological Surgery, Pmc/llc

NPI #1285650879 in Slidell, Louisiana

Provider Information

NPI Number: 1285650879
Entity Type: Organization
Organization Name: Neurological Surgery, Pmc/llc
Primary Specialty: Neurological Surgery
Enumeration Date: Jul 15, 2006
Last Updated: Apr 1, 2013

Practice Location

Address: 1001 FLORIDA AVE
City: Slidell
State: Louisiana
ZIP Code: 70458-2923
Phone: (985) 646-2300

Authorized Official

Name: DR. LOUIS J PROVENZA, MD
Title: MD
Phone: (985) 646-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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