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Individual

DR. ISAAC A ODUDU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
639 LOTUS DR N, SUITE B, MANDEVILLE, LA 70471-2926
(985) 626-6133
(985) 626-6136
Mailing address
208 RIDGEWOOD BLVD, ALEXANDRIA, LA 71303-3320
(318) 483-6571

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13224R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558346
LA
Enumeration date
09/16/2006
Last updated
08/19/2010
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