NPI 1689812463

Earle Ward Sudderth,jr., MD

Practitioner General Practice Physician Gretna, LA

Practice location

Address: 920 Huey P Long Ave, Gretna, LA 70053-6214
Phone: (504) 421-9654
Fax: (504) 366-0892

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 009381 (LA)

Other General Practice providers in Louisiana →

Registry record

NPI: 1689812463
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Feb 2009
Record last updated: 1 Feb 2009

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.