DERRICK DEAN

TERRYTOWN, LA
NPI1841489820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208VP0000X 
(Licence: LA  DO.000110)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: LA  110)
Enumeration Date2007-10-16
Last Update Date2021-01-21
Business Address
DERRICK DEAN DO
2500 BELLE CHASSE HWY
TERRYTOWN, LA 70056-7127
Phone number: 800-893-9698
Mailing Address
DERRICK DEAN DO
3439 PRYTANIA ST STE 501
NEW ORLEANS, LA 70115-7905
Phone number: 504-635-2604
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