Individual
DR. DOUGLAS MEHAFFIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
148 WALL BLVD, GRETNA, LA 70056-7107
(504) 393-2775
(504) 393-2744
Mailing address
PO BOX 6039, NEW ORLEANS, LA 70174-6039
(504) 393-2775
(504) 393-2744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024334
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1545929
—
LA
Enumeration date
06/01/2005
Last updated
04/23/2010
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