Organization
EAST JEFFERSON EMERGENCY MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND S WAGUESPACK III MD (OWNER)
(504) 503-4196
Entity
Organization
Contact information
Practice address
4200 HOUMA BLVD, METAIRIE, LA 70006-2970
(504) 454-4000
Mailing address
6880 W SNOWVILLE RD STE 210, BRECKSVILLE, OH 44141-3255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
01/25/2018
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