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East Bank Gastroenterology LLC

Internal Medicine, Gastroenterology in Metairie, LA. Organization (NPI-2).

NPI number1295731354
StatusActive
Last updated in NPPESJan 14, 2008

Details

NPI
1295731354
Entity type
Organization (NPI-2)
Legal business name
East Bank Gastroenterology LLC
Organization subpart
No
Enumeration date
Jun 23, 2005
Last updated
Jan 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology410437LAYes

Practice location

3800 Houma Blvd
Ste 220
Metairie, LA 70006-4151

Phone 504-456-7484 · Fax 504-456-6829

Mailing address

Po Box 8447
Metairie, LA 70011-8447

Phone 504-835-5115 · Fax 504-833-9480

Authorized official

Christopher N Barrilleaux
Partner
5044567484

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