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Individual

CHARLES R SEARLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2750 GAUSE BLVD E, SLIDELL, LA 70461-4149
(985) 639-3777
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.06934R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06224229
MS
05
1357260
LA
Enumeration date
03/07/2007
Last updated
03/30/2011
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