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Individual

NOAH ANDREW EMERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

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
2085N0700X
Neuroradiology Physician
Primary
DO000105
LA
2085R0202X
Diagnostic Radiology Physician
036111688
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01821396
MS
05
036111688
IL
05
1012441
LA
01
1635332
BLUE CROSS
IL
Enumeration date
12/08/2006
Last updated
01/11/2012
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