Wallace Jeanfreau JR. M.D.

NPI 1518065978 - Internal Medicine - 207R00000X

NPI Details
NPI 1518065978
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3800 HOUMA BLVD
SUITE 335
METAIRIE LA, 70006-4182, US
Phone (504) 779-5859
Fax (985) 626-6995
Business Location
3800 HOUMA BLVD
SUITE 335
METAIRIE LA, 70006-4182, US
Phone (504) 779-5859
Fax (985) 626-6995
Toxanomy
Taxonomy Code 207R00000X
License State Louisiana
License Number 015285
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According to our database, Dr. Wallace Jeanfreau JR. M.D. NPI is 1518065978, taxonomy code is 207R00000X and license number is 015285, license state is located at Louisiana. Wallace Jeanfreau JR. M.D. physically located at 3800 Houma Blvd, Metairie LA, 70006-4182. NPI Number Wallace Jeanfreau JR. M.D. has the Individual type.

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1518065978 NPI number is provided on an as is basis without warranty of any kind. 1518065978 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace Jeanfreau JR. M.D. are for informational purposes only.