Organization
STONE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HARTMAN (BILLING MANAGER)
(504) 457-3687
Entity
Organization
Contact information
Practice address
4409 UTICA ST, SUITE 100, METAIRIE, LA 70006-6530
(504) 457-3687
(504) 620-0250
Mailing address
4409 UTICA ST, SUITE 100, METAIRIE, LA 70006-6530
(504) 457-3687
(504) 620-0250
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
08634R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1925063
—
LA
Enumeration date
11/16/2009
Last updated
11/16/2009
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