Organization
WJH PHYSICIAN SERVICES D/B/A WEST JEFFERSON PHYSICIANS SERVICES
Active
Other names
West Jefferson Medical Center Pediatric ER
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI A GWINN (CREDENTIALING COORD.)
(504) 349-1297
Entity
Organization
Contact information
Practice address
1101 MEDICAL CENTER BLVD, PEDIATRIC ER, MARRERO, LA 70072-3147
(504) 349-1555
(504) 349-1146
Mailing address
1101 MEDICAL CENTER BLVD, ATTN: HEIDI GWINN, MARRERO, LA 70072-3147
(504) 349-1555
(504) 349-1146
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942545
—
LA
Enumeration date
11/22/2006
Last updated
02/12/2016
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