West Jefferson Physician Services

NPI #1790850774 in Harvey, Louisiana

Provider Information

NPI Number: 1790850774
Entity Type: Organization
Organization Name: West Jefferson Physician Services
Primary Specialty: Pediatrics
Enumeration Date: Nov 22, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 3909 LAPALCO BLVD
Address 2: SUITE 100
City: Harvey
State: Louisiana
ZIP Code: 70058-2302
Phone: (504) 349-6900

Authorized Official

Name: HEIDI A GWINN
Title: CREDENTIALING COORD.
Phone: (504) 349-1297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Pediatrics	208000000X	Primary

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