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Individual

RODERICK W CHANDLER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2330 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-6402
(985) 674-1700
(985) 674-1722
Mailing address
2330 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-6402
(985) 674-1700
(985) 674-1722

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.025612
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1046230
LA
Enumeration date
06/20/2006
Last updated
07/29/2010
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