Individual
GORDON A DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7611 MAPLE ST, SUITE 101C, NEW ORLEANS, LA 70118-5068
(504) 861-7167
Mailing address
PO BOX 750400, NEW ORLEANS, LA 70175-0400
(504) 861-7167
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1007
LA
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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