Individual
JOHN BRENTLEY SEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3925
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
MD.207121
LA
208600000X
Surgery Physician
036124295
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04835854
—
MS
05
—
2371495
—
LA
Enumeration date
12/02/2009
Last updated
10/24/2014
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