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Organization
SOUTHEASTERN LOUISIANA UNIVERISITY
Active
Organization
SOUTHEASTERN LOUISIANA UNIVERISITY
Active
Other names
SLU Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN IRWIN (ASST. DIRECTOR FOR SPORTS MEDICINE)
(985) 549-5133
Entity
Organization
Contact information
Practice address
800 GALLOWAY DR, DUGAS CENTER, HAMMOND, LA 70402-0001
(985) 549-5133
(972) 367-3451
Mailing address
PO BOX 650850, DEPT. 1011, DALLAS, TX 75265-0850
(800) 555-9073
(972) 367-3452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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