NPI 1225419211

Brant P Domangue, MD

Practitioner Emergency Medicine Physician Slidell, LA

Practice location

Address: 100 Medical Center Dr, Slidell, LA 70461-5520
Phone: (985) 646-5189
Mailing address: 1514 Jefferson Hwy, New Orleans, LA 70121-2429

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 310574 (LA)

Other Emergency Medicine providers in Louisiana →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence LL38466 (SC)

Registry record

NPI: 1225419211
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2015
Record last updated: 22 Oct 2018

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.