Organization
SOUTHEASTERN LOUISIANA UNIVERISITY
Active
Other names
SLU Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN IRWIN (ASST. DIRECTOR FOR SPORTS MEDICINE)
(985) 549-5133
Entity
Organization
Contact information
Practice address
800 GALLOWAY DR, DUGAS CENTER, HAMMOND, LA 70402-0001
(985) 549-5133
(972) 367-3451
Mailing address
PO BOX 650850, DEPT. 1011, DALLAS, TX 75265-0850
(800) 555-9073
(972) 367-3452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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