Dr. Ivory Crittendon III, MD
Pediatrics, Pediatric Cardiology in New Orleans, LA. Individual provider (NPI-1).
NPI number1114139656
StatusActive
Last updated in NPPESOct 4, 2011
Details
- NPI
- 1114139656
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ivory Crittendon III
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2007
- Last updated
- Oct 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0202X | Pediatrics, Pediatric Cardiology | MD.204668 | LA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | M4746 | TX |
Practice location
1514 Jefferson HighwayNew Orleans, LA 70121-2429
Phone 504-842-5200
Mailing address
1514 Jefferson HighwayNew Orleans, LA 70121
Phone 504-842-4000
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