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Individual

DR. SANDRA L SPEDALE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1111 MEDICAL CENTER BLVD, SUITE S850, MARRERO, LA 70072-3151
(504) 349-6450
(504) 349-6454
Mailing address
1101 MEDICAL CENTER BLVD, ATTN: HEIDI GWINN, MARRERO, LA 70072-3147
(504) 349-1297
(504) 349-1146

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022008
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1678562
LA
Enumeration date
09/21/2005
Last updated
07/08/2007
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