Organization
MARY T. SHERIFF, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY THERESA SHERIFF DPM (PODIATRIST)
(504) 283-6754
Entity
Organization
Contact information
Practice address
4301 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70122-3875
(504) 283-6754
(504) 283-9949
Mailing address
43162 PECAN RIDGE DR, HAMMOND, LA 70403-0602
(985) 902-7785
(985) 902-7780
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PD318R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1162183
—
LA
01
—
PD318R
LA STATE LICENSE
LA
Enumeration date
09/13/2006
Last updated
06/20/2008
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