Individual
MR. JASON ANTHONY CORDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO,BOCOP
Contact information
Practice address
1601 PERDIDO ST, NEW ORLEANS, LA 70112-1262
(504) 553-5835
(504) 553-5832
Mailing address
PO BOX 61011, NEW ORLEANS, LA 70161-1011
(504) 553-5835
(504) 553-5832
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
CO003405
LA
1744P3200X
Prosthetics Case Management
—
LA
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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