Individual
DREXEL PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118
(504) 380-0417
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101265001
VA
Other
Enumeration date
05/28/2015
Last updated
07/16/2021
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