Individual
MR. EDGARDO A JAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
5241 LOVELAND ST, METAIRIE, LA 70006-3921
(504) 669-6270
Mailing address
5241 LOVELAND ST, METAIRIE, LA 70006-3921
(504) 669-6270
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
CN524521
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN524521
NAT CENTER FOR C TECHS
—
Enumeration date
05/17/2007
Last updated
06/06/2022
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