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Individual

ALAN BLAND MARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2021 PERDIDO ST, NEW ORLEANS, LA 70112-1352
(504) 568-2315
Mailing address
1340 POYDRAS ST, NEW ORLEANS, LA 70112-1221

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
08598R
LA
2086S0102X
Surgical Critical Care Physician
08598R
LA
2086S0127X
Trauma Surgery Physician
Primary
08598R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1908827
LA
Enumeration date
07/23/2006
Last updated
10/20/2008
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