Organization
VICTORY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT PETER BURRELL (OWNER)
(504) 957-2336
Entity
Organization
Contact information
Practice address
9970 LAKE FOREST BLVD, SUITE C, NEW ORLEANS, LA 70127-2609
(504) 957-2336
(504) 942-8700
Mailing address
8636 MARKS ST, NEW ORLEANS, LA 70118-4628
(504) 957-2336
(504) 942-8701
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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