Organization
CROSS GATES PEDIATRICS, INC
Active
Other names
Angela Smith Duthu, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA SMITH DUTHU MD (OWNER)
(985) 726-0800
Entity
Organization
Contact information
Practice address
3020 GAUSE BLVD E, SLIDELL, LA 70461-4155
(985) 726-0800
(985) 726-0803
Mailing address
3020 GAUSE BLVD E, SLIDELL, LA 70461-4155
(985) 726-0800
(985) 726-0803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.015652
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1333956
—
LA
Enumeration date
05/07/2008
Last updated
04/18/2013
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