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Individual

DR. IRA EUGENE GADDY IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1440 CANAL ST, TB 53, NEW ORLEANS, LA 70112-2703
(504) 988-4272
Mailing address
1440 CANAL ST, TB 53, NEW ORLEANS, LA 70112-2703
(504) 988-4272

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
PGY.2.TUL-PSY
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000
UNKNOWN
Enumeration date
12/19/2007
Last updated
05/19/2021
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