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Individual

DR. PHILIP STALCUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22 S GREENE ST, ROOM N3E09, BALTIMORE, MD 21201-1544
(410) 328-6110
Mailing address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-5263

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
302554
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2011
Last updated
04/09/2018
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