Individual
MARVIN P DAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4225 LAPALCO BLVD, MARRERO, LA 70072-4324
(504) 371-9355
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200600847
NC
207R00000X
Internal Medicine Physician
Primary
304038
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04454850
—
MS
05
—
1427085893
—
NC
05
—
2435132
—
LA
05
—
5904912
—
NC
05
—
N47006
—
SC
Enumeration date
06/28/2006
Last updated
01/31/2017
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