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Individual

DR. JAMES F GRUDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
33278
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
344982
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86080015085259A979
TRIWEST
AZ
05
892738
AZ
01
P00152984
RAILROAD MEDICARE
AZ
Enumeration date
12/06/2005
Last updated
05/21/2025
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