Organization
IEDM SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDAN MORAN (CEO)
(504) 335-8010
Entity
Organization
Contact information
Practice address
8733 SIEGEN LN, STE 369, BATON ROUGE, LA 70810-1945
(504) 335-8010
Mailing address
8733 SIEGEN LN, STE 369, BATON ROUGE, LA 70810-1945
(504) 335-8010
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
022322
LA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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