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Individual

DR. HARRIS MARSHALL BLACKMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1111 MEDICAL CENTER BLVD, SUITE N-401, MARRERO, LA 70072-3151
(504) 347-2141
(504) 349-6555
Mailing address
3800 EDENBORN AVE, METAIRIE, LA 70002-1522
(504) 456-2871
(504) 349-6555

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
013299
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1308340
LA
Enumeration date
02/07/2006
Last updated
07/09/2007
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