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Individual

DR. MARTIN D. CLAIBORNE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1477 LOUISIANA AVE, STE 100, NEW ORLEANS, LA 70115-3505
(504) 895-4339
(504) 895-4322
Mailing address
1477 LOUISIANA AVE, STE 100, NEW ORLEANS, LA 70115-3505
(504) 895-4339
(504) 895-3326

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
013116
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1196355
LA
Enumeration date
06/20/2005
Last updated
07/28/2010
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