Organization
CANAL STREET CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN MICHAEL JOHNSON MD (MEDICAL DIRECTOR)
(504) 273-6137
Entity
Organization
Contact information
Practice address
2820 CANAL ST, NEW ORLEANS, LA 70119-6302
(504) 273-6137
(504) 304-1927
Mailing address
2820 CANAL ST, NEW ORLEANS, LA 70119-6302
(504) 273-6137
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320293
—
LA
Enumeration date
05/25/2006
Last updated
08/22/2020
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