Individual
DR. ETHAN SCOTT RAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 CANAL ST # 1M204, NEW ORLEANS, LA 70119-6535
(504) 507-2000
Mailing address
2400 CANAL ST # 1M204, NEW ORLEANS, LA 70119-6535
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
306708
LA
Other
Enumeration date
04/18/2016
Last updated
09/28/2021
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