Individual
JOHNNY BILL DELASHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 TULANE AVE, # 8047, NEW ORLEANS, LA 70112-2632
(504) 988-5565
Mailing address
1430 TULANE AVE, # 8047, NEW ORLEANS, LA 70112-2632
(504) 988-5565
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
325661
LA
207T00000X
Neurological Surgery Physician
MD00023061
WA
207T00000X
Neurological Surgery Physician
MD17696
OR
Other
Enumeration date
08/03/2006
Last updated
05/23/2024
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