Individual
DR. PATRICK EDWARD MOTTRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 E JUDGE PEREZ DR, CHALMETTE, LA 70043-5405
(504) 333-6988
(504) 342-2184
Mailing address
360 OAK HARBOR BLVD, SLIDELL, LA 70458-5702
(985) 726-9333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.03279R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1128279
—
LA
Enumeration date
03/17/2006
Last updated
04/18/2013
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