Individual
DR. JAY FISHER DESALVO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 E FAIRWAY DR, LAKEVIEW REGIONAL MED CENTER, COVINGTON, LA 70433-7500
(985) 867-4000
(985) 867-4001
Mailing address
PO BOX 740550, NEW ORLEANS, LA 70174-0550
(504) 366-7638
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
09220R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1960829
—
LA
Enumeration date
03/14/2006
Last updated
07/08/2007
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