Individual
DR. AMY DERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 MAGAZINE ST, NEW ORLEANS, LA 70130-5018
(504) 529-5558
(504) 529-8840
Mailing address
1936 MAGAZINE ST, NEW ORLEANS, LA 70130-5016
(504) 529-5558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
257326
MA
207Q00000X
Family Medicine Physician
Primary
303232
LA
207Q00000X
Family Medicine Physician
A115114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2438727
—
LA
Enumeration date
08/03/2009
Last updated
11/12/2024
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