Individual
BRIAN VISCOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(423) 827-6138
Mailing address
921 N TURNBULL DR, METAIRIE, LA 70001-3869
(423) 827-6138
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2021
Last updated
06/05/2021
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