Individual
BRIDGET HOWALD PANCOAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200358
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2120573
—
LA
Enumeration date
08/23/2010
Last updated
07/16/2019
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