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Organization

CRESCENT CITY SURGERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENARDO DOLPHIN DUNHAM DPM, MBA (OWNER)
(504) 265-0089
Entity
Organization

Contact information

Practice address
7311 DOWNMAN RD, NEW ORLEANS, LA 70126-1213
(504) 265-0089
(504) 241-1945
Mailing address
7311 DOWNMAN RD, NEW ORLEANS, LA 70126-1213
(504) 265-0089
(504) 241-1945

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1397245
LA
Enumeration date
10/05/2009
Last updated
10/05/2009
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