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Individual

DR. DAVID M MUSHATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD.08107R
LA
207RI0200X
Infectious Disease Physician
Primary
08107R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1914517
LA
Enumeration date
10/02/2006
Last updated
10/22/2015
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