Organization
PRIDE GAZ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DICKSON D OGBOMAH (PRESIDENT)
(504) 905-4445
Entity
Organization
Contact information
Practice address
308 STONEBRIDGE LOOP, SLIDELL, LA 70458-5364
(504) 905-4445
Mailing address
308 STONEBRIDGE LOOP, SLIDELL, LA 70458-5364
(504) 905-4445
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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