Organization
GULF EMERGENCY MANAGEMENT, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WALES M.D. (PRINCIPAL OFFICER)
(540) 454-4196
Entity
Organization
Contact information
Practice address
4200 HOUMA BLVD, EMERGENCY ROOM, METAIRIE, LA 70006-2970
(210) 614-0180
(210) 566-5698
Mailing address
PO BOX 62600, DEPT 1142, NEW ORLEANS, LA 70162-2600
(210) 614-0180
(210) 566-5698
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1450847
—
LA
01
—
H4048Z
BCBS
LA
Enumeration date
05/04/2006
Last updated
07/12/2011
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