Individual
MARSHALL JAMES REVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3900
Mailing address
812 LAFAYETTE DR NE, ALBUQUERQUE, NM 87106-2041
(505) 400-8219
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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