Organization
NEURO ORTHO SPINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN G PRIBIL MD (OWNER)
(504) 454-8208
Entity
Organization
Contact information
Practice address
2920 KINGMAN STREET, SUITE 120, METAIRIE, LA 70006
(504) 454-8308
(504) 454-8326
Mailing address
2920 KINGMAN STREET, SUITE 120, METAIRIE, LA 70006
(504) 454-8308
(504) 454-8326
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
09098R
LA
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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