CRISPIN G. BOLISAY

SLIDELL, LA
NPI1316902737
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: LA  05389R)
Enumeration Date2006-04-19
Last Update Date2008-12-30
Business Address
-- CRISPIN G. BOLISAY MD
105 MEDICAL CENTER DR SUITE 304
SLIDELL, LA 70461-5544
Phone number: 985-646-0360
Mailing Address
-- CRISPIN G. BOLISAY MD
105 MEDICAL CENTER DR SUITE 304
SLIDELL, LA 70461-5544
Phone number: 985-646-0360
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