Individual
DR. MYRON ERNEST MOOREHEAD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ESPLANADE AVE, SUITE 311, KENNER, LA 70065-2474
(504) 467-0770
(504) 467-0791
Mailing address
200 W ESPLANADE AVE, SUITE 311, KENNER, LA 70065-2474
(504) 467-0770
(504) 467-0791
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD4222R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092522606
CONTROLLED SUBSTANCE LIC
LA
Enumeration date
11/29/2006
Last updated
09/20/2016
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