Individual
JOHN A RISEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MCD
Contact information
Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1797
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09457062
—
MS
05
—
1030830
—
LA
Enumeration date
11/26/2007
Last updated
05/07/2008
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