Individual
PHILIP JORDAN PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1430 TULANE AVE, SL-16, NEW ORLEANS, LA 70112-2632
(504) 988-7518
Mailing address
1430 TULANE AVE, SL-16, NEW ORLEANS, LA 70112-2632
(504) 988-7518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30500
AL
207R00000X
Internal Medicine Physician
MD.206175
LA
208M00000X
Hospitalist Physician
Primary
MD.206175
LA
Other
Enumeration date
04/30/2009
Last updated
04/04/2017
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