Organization
EAR, NOSE, THROAT CLINIC OF SLIDELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SCOTT LEONARD (OFFICE MANAGER)
(985) 707-4067
Entity
Organization
Contact information
Practice address
985 ROBERT BLVD, SUITE 101, SLIDELL, LA 70458-2063
(985) 847-1995
(985) 847-1992
Mailing address
985 ROBERT BLVD, SUITE 101, SLIDELL, LA 70458-2063
(985) 847-1995
(985) 847-1992
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
09276R
LA
Other
Enumeration date
04/14/2010
Last updated
07/14/2010
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