Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 206355 | LA |
NPI | 1760706782 |
---|---|
Provider Name | Mccall G Mcdaniel |
First Address | New Orleans, LA 70154-4482 |
Second Address | Covington, LA 70433-7121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2010 |
Last Update Date | 17/06/2016 |