Organization
PLAZA MEDICAL CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRITZ G FIDELE DC (OWNER)
(504) 324-6416
Entity
Organization
Contact information
Practice address
4301 ELYSIAN FIELDS AVE, 103, NEW ORLEANS, LA 70122-3875
(504) 324-6416
(504) 324-6417
Mailing address
4301 ELYSIAN FIELDS AVE, 103, NEW ORLEANS, LA 70122-3875
(504) 324-6416
(504) 324-6417
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
904
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
904
LICENSE
LA
Enumeration date
11/09/2007
Last updated
11/09/2007
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