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Individual

BRIAN MIDKIFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3901 ULLOA ST, NEW ORLEANS, LA 70119
(504) 267-5712
(504) 267-5714
Mailing address
3901 ULLOA ST, NEW ORLEANS, LA 70119-6942
(504) 267-5712
(504) 267-5714

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/04/2017
Last updated
06/04/2018
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