Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD.015297 | LA |
NPI | 1033153564 |
---|---|
Provider Name | Robert T Mcafee |
First Address | Hammond, LA 70404-2668 |
Second Address | Hammond, LA 70403-1475 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 25/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1337811 | (05) | LA |
B64873 | (02) | LA |