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Organization
NEW ORLEANS REGIONAL GAMMA KNIFE CENTER, LLC
Active
Organization
NEW ORLEANS REGIONAL GAMMA KNIFE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK GABRIEL (PRINCIPAL)
(317) 634-2222
Entity
Organization
Contact information
Practice address
3434 PRYTANIA ST, SUITE 120, NEW ORLEANS, LA 70115-3532
(504) 891-2173
(504) 891-0147
Mailing address
PO BOX 95443, NEW ORLEANS, LA 70195-5443
(504) 891-2173
(504) 891-0147
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20145
BCBS OF LA
LA
Enumeration date
12/05/2005
Last updated
08/22/2020
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