Individual
DR. ANTONIO J WARING II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 GAUSE BLVD, SLIDELL, LA 70458-2948
(985) 280-6780
(985) 280-6781
Mailing address
1001 GAUSE BLVD # 75, SLIDELL, LA 70458-2939
(985) 280-3609
(985) 280-9651
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
017995
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1384585
—
LA
Enumeration date
03/08/2007
Last updated
10/18/2016
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