Organization
PRYTANIA PATHOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN OLIVIER MD (PARTNER)
(504) 897-8418
Entity
Organization
Contact information
Practice address
1401 FOUCHER ST, NEW ORLEANS, LA 70115-3515
(504) 897-8418
Mailing address
PO BOX 919930, DALLAS, TX 75391-9390
(985) 785-2221
(985) 785-1118
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1798193
—
LA
Enumeration date
08/18/2005
Last updated
02/10/2017
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