Individual
DIANA TAMAR MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
8050 W JUDGE PEREZ DR, STE 1300, CHALMETTE, LA 70043-1668
(504) 575-3712
(504) 575-3691
Mailing address
PO BOX 50842, NEW ORLEANS, LA 70150-0842
(504) 312-1790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
199909
LA
208000000X
Pediatrics Physician
199909
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1065447
—
LA
Enumeration date
05/11/2007
Last updated
04/10/2014
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