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Individual

WALTER D TRUAX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1111 MEDICAL CENTER BLVD., STE S750, MARRERO, LA 70072
(504) 340-6976
(504) 349-6786
Mailing address
1111 MEDICAL CENTER BLVD., STE S750, MARRERO, LA 70072
(504) 340-6976
(504) 349-6786

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
06473R
LA
2084N0400X
Neurology Physician
Primary
L#06473R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1362581
LA
Enumeration date
06/20/2006
Last updated
11/07/2012
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