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Individual

CHRISTOPHER MARK BLAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
L022209
LA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
022209
LA
207RI0200X
Infectious Disease Physician
Primary
022209
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03421744
MS
05
1483133
LA
05
1949001
LA
Enumeration date
10/12/2005
Last updated
08/15/2023
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