Organization
EXECUTIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP L REED MD (OWNER)
(504) 309-4600
Entity
Organization
Contact information
Practice address
701 POYDRAS ST STE 104, NEW ORLEANS, LA 70139-7761
(504) 309-4600
(504) 910-9200
Mailing address
701 POYDRAS ST STE 104, NEW ORLEANS, LA 70139-7761
(504) 309-4600
(504) 910-9200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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