Individual
DR. PIERRE G. DETIEGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1816 INDUSTRIAL BLVD, HARVEY, LA 70058-2314
(504) 366-7638
(504) 366-1029
Mailing address
1816 INDUSTRIAL BLVD, HARVEY, LA 70058-2314
(504) 366-7638
(504) 366-1029
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD070246L
PA
207P00000X
Emergency Medicine Physician
Primary
MD201664
LA
207P00000X
Emergency Medicine Physician
ME81323
FL
Other
Enumeration date
07/13/2006
Last updated
09/06/2007
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