Organization
WESTSIDE EAR, NOSE & THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D DILEO M.D. (OWNER)
(225) 687-4477
Entity
Organization
Contact information
Practice address
59325 RIVER WEST DRIVE, SUITE C, PLAQUEMINE, LA 70764
(225) 687-4477
(225) 687-9797
Mailing address
59325 RIVER WEST DRIVE, SUITE C, PLAQUEMINE, LA 70764
(225) 687-4477
(225) 687-9797
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.021089
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1974382
—
LA
Enumeration date
05/25/2007
Last updated
08/22/2020
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