Individual
DWAYNE ANTHONY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2021 PERDIDO ST, NEW ORLEANS, LA 70112-1352
(504) 412-1860
Mailing address
1340 POYDRAS ST, NEW ORLEANS, LA 70112-1221
(504) 412-1860
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
17773
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1913286
—
LA
Enumeration date
08/10/2006
Last updated
07/08/2007
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