Ivory Crittendon III MD

NPI 1114139656 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1114139656
Gender Male
Enumeration Date 05/04/2007
Last Updated 10/04/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1514 JEFFERSON HIGHWAY
NEW ORLEANS LA, 70121-2429, US
Phone (504) 842-5200
Fax
Business Location
1514 JEFFERSON HIGHWAY
NEW ORLEANS LA, 70121, US
Phone (504) 842-4000
Fax
Toxanomy
Taxonomy Code 390200000X
License State Texas
License Number M4746
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According to our database, Dr. Ivory Crittendon III MD NPI is 1114139656, taxonomy code is 390200000X and license number is M4746, license state is located at Texas. Ivory Crittendon III MD physically located at 1514 Jefferson Highway, New Orleans LA, 70121-2429. NPI Number Ivory Crittendon III MD has the Individual type.

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1114139656 NPI number is provided on an as is basis without warranty of any kind. 1114139656 is maintained by the National Plan & Provider Enumeration System. The contents of Ivory Crittendon III MD are for informational purposes only.