Individual
CHRISTOPHER DAVID DEDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4801 MCHUGH RD, SUITE C, ZACHARY, LA 70791-5364
(225) 570-2489
(225) 570-2986
Mailing address
2335 CHURCH ST, SUITE E, ZACHARY, LA 70791-2700
(225) 570-2489
(225) 570-2986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN8568
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2434390
—
LA
Enumeration date
01/18/2016
Last updated
01/26/2020
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