Individual
GORDON PHILIP NUTIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4224 HOUMA BLVD, SUITE 270, METAIRIE, LA 70006
(504) 456-8013
(504) 456-8183
Mailing address
4224 HOUMA BLVD, SUITE 270, METAIRIE, LA 70006
(504) 456-8013
(504) 456-8183
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
014482
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1305294
—
LA
Enumeration date
11/21/2006
Last updated
07/08/2007
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