Individual
DEREK DARRELL BARDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1608 S SALCEDO ST, NEW ORLEANS, LA 70125-2854
(150) 482-1005
(504) 821-0054
Mailing address
1608 S SALCEDO ST, NEW ORLEANS, LA 70125-2854
(504) 821-0053
(504) 821-0054
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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