Louis DO, DO
Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).
NPI number1003661455
StatusActive
Last updated in NPPESApr 22, 2024
Details
- NPI
- 1003661455
- Entity type
- Individual (NPI-1)
- Name
- Louis DO
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2024
- Certification date
- Apr 22, 2024
- Last updated
- Apr 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
7800c Stenton Ave Apt 107Philadelphia, PA 19118-3021
Phone 404-451-2850
Mailing address
7800c Stenton AvePhiladelphia, PA 19118-3029
Phone 404-451-2850
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All 4,293 Student in an Organized Health Care Education/Training Program providers in Philadelphia · All 53,595 providers in Philadelphia
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