Individual
ANDREW THOMAS PAIYARAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDHS
Contact information
Practice address
400 RUSSELL AVE, NEW ORLEANS, LA 70143-5077
(504) 415-0690
Mailing address
400 RUSSELL AVE, NEW ORLEANS, LA 70143-5077
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
12/05/2023
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