Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 20247 | LA |
NPI | 1184635609 |
---|---|
Provider Name | John Patrick Hunt |
First Address | New Orleans, LA 70112-1221 |
Second Address | New Orleans, LA 70112-1352 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 27/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00123715 | (05) | MS |
1389714 | (05) | LA |
E67613 | (02) |