Individual
DEXTER MATRANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2003 TULANE AVENUE, NEW ORLEANS, LA 70112
(504) 962-6110
(504) 962-6111
Mailing address
1542 TULANE AVE FL 4, NEW ORLEANS, LA 70112-2865
(504) 962-6110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
322612
LA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
322612
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2018
Last updated
04/26/2023
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