Individual
DR. JOHN TRUITT BALART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE N-108, MARRERO, LA 70072-3151
(504) 349-1461
(504) 349-1461
Mailing address
1111 MEDICAL CENTER BLVD, SUITE N-108, MARRERO, LA 70072-3151
(504) 349-1461
(504) 349-1461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.026462
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06976733
—
MS
05
—
1065251
—
LA
01
—
4N9505B361
LA MEDICARE
LA
Enumeration date
04/09/2008
Last updated
01/17/2011
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