NPI 1003904236

Pediatric Clinic Westbank

Organisation Pediatrics Physician Gretna, LA

Practice location

Address: 151 Meadowcrest St STE F, Gretna, LA 70056-5256
Phone: (504) 392-9298
Fax: (504) 392-7047

Authorised official

Name: Tammy Grafe
Title: Office Manager
Phone: (504) 392-9298

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 018557 (LA)

Other Pediatrics providers in Louisiana →

Registry record

NPI: 1003904236
Entity type: Organization
NPI issued: 11 Oct 2006
Record last updated: 20 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.