Individual
MATTHEW A. MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 JEFFERSON HWY, NEW ORLEANS, LA 70121-2426
(504) 842-4747
(504) 842-1242
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4747
(504) 842-1242
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
10635R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03679285
—
MS
05
—
1699471
—
LA
Enumeration date
04/07/2006
Last updated
09/28/2015
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