Individual
DR. JENNIFER MARIE MALSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
502 RUE DE SANTE STE 105, RIVER REGION SURGICAL SPECIALISTS, LA PLACE, LA 70068-5424
(985) 653-1605
(985) 653-1609
Mailing address
1514 JEFFERSON HWY, RIVER REGION SURGICAL SPECIALISTS, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO.000248
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09802721
MEDICAID
MS
05
—
2154371
—
LA
Enumeration date
09/17/2008
Last updated
05/27/2016
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