Organization
PEDIATRIC RADIOLOGY ASSOCIATES OF LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WARD (MANAGER)
(504) 896-9565
Entity
Organization
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9565
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9565
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1440612
—
LA
Enumeration date
08/31/2006
Last updated
08/22/2020
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