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Individual

ALLAN AUGILLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2001 TULANE AVE, D&T 2ND FLOOR SUITE 2720, NEW ORLEANS, LA 70112-2249
(504) 702-2287
Mailing address
2001 TULANE AVE, D&T 2ND FLOOR SUITE 2720, NEW ORLEANS, LA 70112-2249

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
311532
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
054021
CDS
LA
01
311532
STATE LICENSE
LA
Enumeration date
03/31/2016
Last updated
03/07/2023
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