Individual
GRADY PATRICK CREEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4055
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125:057584
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD.206843
LA
207RP1001X
Pulmonary Disease Physician
Primary
MD.206843
LA
Other
Enumeration date
05/17/2010
Last updated
09/11/2017
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