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Organization

LOYOLA UNIVERSITY NEW ORLEANS STUDENT HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN P FATH (CONSULTANT)
(504) 616-9710
Entity
Organization

Contact information

Practice address
6363 SAINT CHARLES AVE # 200, NEW ORLEANS, LA 70118-6195
(504) 616-9710
(504) 865-2382
Mailing address
6363 SAINT CHARLES AVE # 200, NEW ORLEANS, LA 70118-6195
(504) 616-9710
(504) 865-2382

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/05/2021
Last updated
05/05/2021
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