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Organization

ICON CORP

Active
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Organization

ICON CORP

Active
Other names
ICON MEDICAL ACCESSORIES
Organization subpart
No

Provider details

NPI number
Authorized official
OLUBUKOLA A ELISHA (ADMINISTRATOR)
(504) 931-6606
Entity
Organization

Contact information

Practice address
8030 CROWDER BLVD STE B, NEW ORLEANS, LA 70127-1063
(504) 931-6606
(188) 865-7111
Mailing address
8030 CROWDER BLVD STE B, NEW ORLEANS, LA 70127-1063
(504) 931-6606
(188) 865-7111

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/12/2008
Last updated
11/12/2008
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