Individual
MADISON MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 ALLEN TOUSSAINT BLVD STE C, NEW ORLEANS, LA 70124-2588
(504) 286-2001
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
338343
LA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/05/2023
Last updated
09/20/2023
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