Individual
DR. JAIME SANTIAGO TUAZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
989 ROBERT BLVD, SLIDELL, LA 70458-2009
(985) 690-8200
Mailing address
PO BOX 8430, METAIRIE, LA 70011-8430
(504) 834-2062
(504) 831-7429
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
06059R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04308069
—
MS
05
—
1348589
—
LA
Enumeration date
06/16/2005
Last updated
02/20/2008
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