Organization
WOMENS HEALTH & PELVIC PAIN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEATRICE S DESPER MD (OWNER)
(985) 674-4434
Entity
Organization
Contact information
Practice address
1120 N CAUSEWAY BLVD, SUITE 1, MANDEVILLE, LA 70471-3209
(985) 674-4434
(985) 674-4374
Mailing address
1120 N CAUSEWAY BLVD, SUITE 1, MANDEVILLE, LA 70471-3209
(985) 674-4434
(985) 674-4374
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
15436R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689647430
INDIVIDUAL NPI
—
01
—
5CY96
MEDICARE PTAN
LA
Enumeration date
08/27/2007
Last updated
05/07/2008
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