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Individual

RORY J DUFFOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
901 GAUSE BLVD STE 100, SLIDELL, LA 70458
(985) 280-8970
(985) 280-2618
Mailing address
901 GAUSE BLVD STE 100, SLIDELL, LA 70458-2949
(985) 280-8970
(985) 280-2618

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017259
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57399
MEDICARE
LA
Enumeration date
03/27/2006
Last updated
02/02/2023
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