Individual
JUSTIN ROBERT BORDELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, BRENT HOUSE ROOM 634, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Mailing address
1514 JEFFERSON HWY, BRENT HOUSE ROOM 634, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207999
LA
390200000X
Student in an Organized Health Care Education/Training Program
PGY
LA
Other
Enumeration date
04/29/2013
Last updated
03/17/2021
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