Individual
DR. GORDON MARK MAGONET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4228 HOUMA BLVD, SUITE 200, METAIRIE, LA 70006-3000
(504) 454-7878
Mailing address
4228 HOUMA BLVD, STE 200, METAIRIE, LA 70006-3004
(504) 454-7878
(504) 883-3775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD12095R
LA
Other
Enumeration date
04/03/2006
Last updated
10/15/2018
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