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Individual

SCOTT BRANDON SIMEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 W ESPLANADE AVE, SUITE 106, KENNER, LA 70065-2489
(504) 712-7000
(504) 712-7040
Mailing address
200 W ESPLANADE AVE, SUITE 106, KENNER, LA 70065-2489
(504) 712-7000
(504) 712-7040

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023871
LA
208000000X
Pediatrics Physician
023871
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1485845
LA
Enumeration date
03/16/2006
Last updated
02/20/2014
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