Individual
SAGE THOMAS STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
605 LAPALCO BLVD, GRETNA, LA 70056-7302
(504) 595-8040
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
332969
LA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/14/2022
Last updated
08/29/2022
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