Individual
MR. JUSTIN M HAYDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4770 S 1-10 SERVICE RD W, STE 110, METAIRIE, LA 70001
(504) 454-0141
(504) 885-2465
Mailing address
P.O. BOX 952346, ATLANTA, GA 31192
(504) 454-0141
(504) 885-2465
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
A134403
CA
207T00000X
Neurological Surgery Physician
Primary
MD204131
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05764
—
LA
05
—
1057649
—
LA
Enumeration date
05/15/2008
Last updated
11/09/2016
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