Individual provider · Type 1 NPI

John Roddenberry Jr., DPM

Student in an Organized Health Care Education/Training Program · Metairie, LA

NPI number 1871279448 Active

Practice location

4200 Houma Blvd
Metairie, LA 70006-2970

Call (941) 779-6299 Map

Mailing address

124 Labarre Dr Apt B
Metairie, LA 70001-5433

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X337238 (LA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1871279448

John Roddenberry Jr., DPM's National Provider Identifier is 1871279448, issued on Jun 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Metairie, LA. The record was last updated on Jun 27, 2023.