Organization
ANN E VOCKROTH MD A PROFESSIONAL MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN VOCKROTH M.D. (OWNER)
(504) 391-9249
Entity
Organization
Contact information
Practice address
2600 BELLE CHASSE HWY, SUITE 204, TERRYTOWN, LA 70056-7156
(504) 391-9249
(504) 394-5970
Mailing address
2600 BELLE CHASSE HWY, SUITE 204, TERRYTOWN, LA 70056-7156
(504) 391-9249
(504) 394-5970
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
10426R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991967
—
LA
Enumeration date
02/13/2012
Last updated
03/06/2012
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