Individual
MARIAH DUNBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5950 BULLARD AVE, NEW ORLEANS, LA 70128-2816
(574) 354-4188
(504) 354-4141
Mailing address
5950 BULLARD AVE, NEW ORLEANS, LA 70128-2816
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
325906
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
STATE LICENSE
IN
Enumeration date
05/24/2018
Last updated
11/08/2023
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