Individual
EDWARD DAVID MCCOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4080
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
254911
NY
207Y00000X
Otolaryngology Physician
Primary
MD.207210
LA
207Y00000X
Otolaryngology Physician
MD2012-0579
NM
207Y00000X
Otolaryngology Physician
MD60271014
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05255230
—
MS
05
—
2373641
—
LA
Enumeration date
07/25/2007
Last updated
12/16/2014
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