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Individual

DR. ALLAN GARIGUE COUGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
107 SMART PLACE, SLIDELL, LA 70458-2039
(985) 847-9200
(228) 575-2120
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
(228) 575-2120

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
011862
LA
174400000X
Specialist
11240
MS
2080P0202X
Pediatric Cardiology Physician
Primary
MD.011862
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00115293
MS
05
1175382
LA
Enumeration date
10/05/2006
Last updated
09/09/2011
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