Individual
BRODERICK LETREY PINKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2810 EAST CAUSEWAY APPROACH, MANDEVILLE, LA 70449-3502
(985) 875-2713
(504) 373-6103
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
GETP.LSU.P
LA
2084P0800X
Psychiatry Physician
Primary
MD.204069
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06076223
—
MS
05
—
1006751
—
LA
Enumeration date
07/30/2007
Last updated
11/03/2011
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