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Individual

SALVATORE BUTTACI-GUARINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 JUDGE TANNER BLVD STE 300, COVINGTON, LA 70433-7506
(985) 876-2100
(985) 871-1548
Mailing address
101 JUDGE TANNER BLVD STE 300, COVINGTON, LA 70433-7506
(985) 876-2100
(985) 871-1548

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
15289R
LA
207RI0011X
Interventional Cardiology Physician
Primary
15289R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1169633
LA
01
P00057074
RR MEDICARE
LA
Enumeration date
07/06/2005
Last updated
02/19/2020
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