Organization
WASHINGTON AVENUE MEDICAL PLAZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOBIE FITZGERALD CREAR M.D. (PRESIDENT)
(504) 592-9818
Entity
Organization
Contact information
Practice address
2121 MAGAZINE ST, NEW ORLEANS, LA 70130-5045
(504) 592-9818
(504) 525-0152
Mailing address
2121 MAGAZINE ST, NEW ORLEANS, LA 70130-5045
(504) 592-9818
(504) 525-0152
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9136
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1440523
—
LA
Enumeration date
11/13/2006
Last updated
10/10/2007
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