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BRENT KEITH MD

Physicians Pediatrics Pediatric Gastroenterology

Provider NPI: 1285804971

Provider Information:
 BRENT  KEITH MD
Gender: M
Not Sole Proprietor

Practice Location:
200 HENRY CLAY AVE SUITE 2312 NEW ORLEANS, LA 70118-5720 US
Tel: 504-896-9534  Fax: --

Business Mailing Address:
200 HENRY CLAY AVE STE. 2312 NEW ORLEANS, LA 70118-5720 US
Tel: --  Fax: --

NPI Information:
NPI: 1285804971
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2080P0206XPhysicians
Pediatrics
Pediatric Gastroenterology
LAGETP.LSU.G02053.F-G

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2080P0206X

Type:

Classification:



Definition:



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