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Organization
SPINE INTERVENTION, LLC
Active
Organization
SPINE INTERVENTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED DEFRANCESCH (SOLE MEMBER)
(985) 479-8000
Entity
Organization
Contact information
Practice address
1919 VETERANS MEMORIAL BLVD, SUITE 101, KENNER, LA 70062-4003
(504) 469-9641
Mailing address
2840 W AIRLINE HWY, SUITE A, LA PLACE, LA 70068-2951
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
022596
LA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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