Individual
BONNIE CLAIRE DESSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PEDIATRIC PULMONARY AND CRITICAL CARE ASSOCIATES, 200 HENRY CLAY AVE, NEW ORLEANS, LA 70119
(504) 896-9263
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 412-1835
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
019870
LA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
019870
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126659
—
MS
05
—
1661473
—
LA
Enumeration date
07/25/2006
Last updated
12/15/2010
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