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Individual

BASIL HARRIS SELDEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD-038349-L
PA
207R00000X
Internal Medicine Physician
Primary
MD.203595
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01820345
MS
05
1824836
LA
Enumeration date
11/21/2006
Last updated
06/23/2010
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