Individual
NEIL JAMES MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 SAINT MARY ST, THIBODAUX, LA 70301-2627
(985) 446-6824
Mailing address
525 SAINT MARY ST, THIBODAUX, LA 70301-2627
(985) 446-6824
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.103892
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1196151
—
LA
01
—
CJ6378
RAILROAD MEDICARE
LA
Enumeration date
10/04/2005
Last updated
07/27/2017
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