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Dr. Elliott Bunyan Black III, MD
Specialist in Metairie, Louisiana
NPI 1912007311

Elliott Bunyan Black III is a Specialist based in Metairie, LA. Elliott Bunyan Black III practices in Metairie, LA and has the professional credentials of MD. The NPI Number for Elliott Bunyan Black III is 1912007311 and holds a License No. 011207 (Louisiana).

The current practice location address for Elliott Bunyan Black III is 4228 Houma Blvd, Metairie, LA and can be reached out via phone at 504-883-8900 and via fax at 504-883-8901.

Location: 4228 Houma Blvd, Metairie, LA, 70006-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912007311
Provider Name
Elliott Bunyan Black III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4228 Houma Blvd, Metairie, LA, 70006-3000
Phone Number
504-883-8900
Fax Number
504-883-8901
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4228 Houma Blvd
City
Metairie
State
Louisiana
Zip
70006-3000
Phone Number
504-883-8900
Fax Number
504-883-8901
person
Provider Business Mailing Address Details
Address
4228 Houma Blvd
City
Metairie
State
Louisiana
Zip
70006-3000
Phone Number
504-883-8900
Fax Number
504-883-8901
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
011207 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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