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Individual

DR. IVORY CRITTENDON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-5200
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
MD.204668
LA
390200000X
Student in an Organized Health Care Education/Training Program
M4746
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03420027
MS
05
2154729
LA
Enumeration date
05/04/2007
Last updated
10/04/2011
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