Individual
DR. GABRIEL A VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
2084N0400X
Neurology Physician
MD200888
LA
2084V0102X
Vascular Neurology Physician
23578
MS
2084V0102X
Vascular Neurology Physician
Primary
MD.200888
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07902200
—
MS
05
—
1074250
—
LA
Enumeration date
09/10/2007
Last updated
07/19/2016
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