Individual
JOHN GLOTFELTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10202RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02329590
—
MS
05
—
1628689
—
LA
Enumeration date
09/13/2006
Last updated
12/17/2007
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