Individual
DR. HAROLD ROBERT NEITZSCHMAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 GAUSE BLVD E STE 102, SLIDELL, LA 70461-5434
(985) 641-3742
(985) 641-7181
Mailing address
170 CRAPEMYRTLE RD, COVINGTON, LA 70433-4766
(985) 871-7130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L020894
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116828
—
MS
05
—
1682110
—
LA
Enumeration date
01/04/2007
Last updated
03/27/2008
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