Individual provider · Type 1 NPI
Earle Ward Sudderth,jr., MD
General Practice Physician · Gretna, LA
NPI number
1689812463
Active
Practice location
920 Huey P Long Ave
Gretna, LA 70053-6214
Fax (504) 366-0892
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 009381 (LA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Gretna
About NPI 1689812463
Earle Ward Sudderth,jr., MD's National Provider Identifier is 1689812463, issued on Feb 1, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gretna, LA. The record was last updated on Feb 1, 2009.