Individual
MARC RYAN MATRANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-3910
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD.201773
LA
208M00000X
Hospitalist Physician
MD201773
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07608856
—
MS
05
—
1077640
—
LA
05
—
217130801
—
TX
Enumeration date
08/24/2007
Last updated
09/16/2013
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