Individual
DR. WALTER BRADLEY RENTROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
433 BOLIVAR ST, NEW ORLEANS, LA 70112-7021
(504) 568-4808
Mailing address
209 CR 604, APT 6, CORINTH, MS 38834-9388
(901) 870-8809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
332395
LA
207R00000X
Internal Medicine Physician
Primary
T-3831
MS
207RC0000X
Cardiovascular Disease Physician
Primary
332395
LA
Other
Enumeration date
06/30/2019
Last updated
04/23/2026
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