NPI 1114092194

West Jefferson Physician Services

Organisation Internal Medicine Physician Harvey, LA

Practice location

Address: 2845 Manhattan Blvd, Harvey, LA 70058-2987
Phone: (504) 349-6930
Fax: (504) 361-5496

Authorised official

Name: Heidi a Gwinn
Title: Credentialing Coord.
Phone: (504) 349-1297

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Louisiana →

Registry record

NPI: 1114092194
Entity type: Organization
NPI issued: 22 Nov 2006
Record last updated: 22 Aug 2020

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.