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Individual

ALEXANDER MATTHEW WHEATLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Mailing address
3 CANEY CT, KENNER, LA 70065-3960
(504) 462-7900

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
206764
LA

Other

Enumeration date
07/01/2019
Last updated
07/01/2019
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