Organization
HEALTHCARE INNOVATIONS OF METAIRIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON MAZOUE M.D. (OWNER)
(504) 598-5074
Entity
Organization
Contact information
Practice address
3535 SEVERN AVE, STE 8, METAIRIE, LA 70002-3482
(504) 598-5074
(504) 598-5075
Mailing address
3535 SEVERN AVE, SUITE 8, METAIRIE, LA 70002-3482
(504) 598-5074
(504) 598-5075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200841
LA
Other
Enumeration date
04/27/2011
Last updated
01/13/2012
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