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MR. KIRT JOSEPH TALAMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
A30284
LA
363AM0700X
Medical Physician Assistant
Primary
PA200020
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1012785
LA
01
A30284
PA LICENSE
LA
Enumeration date
05/31/2005
Last updated
04/30/2008
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