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Individual

DR. RYAN PHILIP ELLENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1542 TULANE AVE, ROOM 653, NEW ORLEANS, LA 70112-2865
(504) 568-2319
Mailing address
2125 SONIAT ST, NEW ORLEANS, LA 70115-5644
(985) 860-2817

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.203255
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/09/2008
Last updated
08/11/2010
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