Dura Mater, INC

NPI #1801007307 in Slidell, Louisiana

Provider Information

NPI Number: 1801007307
Entity Type: Organization
Organization Name: Dura Mater, INC
Primary Specialty: Specialist
Enumeration Date: May 25, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 700 GAUSE BLVD
Address 2: SUITE 201
City: Slidell
State: Louisiana
ZIP Code: 70458-2800
Phone: (985) 690-0135

Authorized Official

Name: DR. BRYANT GERARD GEORGE SR., M.D.
Title: CEO
Phone: (985) 690-0135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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