Individual
BLAIR ALEXIS PFISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1430 TULANE AVE, NEW ORLEANS, LA 70112-2632
(504) 988-5807
Mailing address
408 WILD ROSE DR, NORCO, LA 70079-4102
(504) 722-1168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
332656
LA
Other
Enumeration date
08/22/2022
Last updated
08/23/2022
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