Individual
DR. STACEY BRADFORD CLASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 WESTBANK EXPY, SUITE 7, GRETNA, LA 70053-5644
(504) 366-7233
(504) 366-0686
Mailing address
515 WESTBANK EXPY, SUITE 7, GRETNA, LA 70053-5644
(504) 366-7233
(504) 366-0686
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.025608
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043583
—
LA
Enumeration date
05/19/2006
Last updated
01/20/2009
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