Individual
JOHN FIRESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3040 33RD ST, METAIRIE, LA 70001-2036
(504) 837-7760
(504) 837-7754
Mailing address
298 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9827
(504) 894-5370
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
015657
LA
208000000X
Pediatrics Physician
Primary
015657
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1368458
—
LA
Enumeration date
06/10/2005
Last updated
10/21/2016
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