Doctor Name: | DR. JAMES D OKUN |
NPI Number: | 1144496704 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 06377R |
Business Practice Address: | 1500 Lafayette St Suite 141 Gretna, LA - 700535732 |
Business Phone Number: | 5043010545 |
Business Fax Number: | |
Mailing Address: | 1733 River City Way, SACRAMENTO |
State: | CA |
Postal Code: | 958331807 |
Phone Number: | 9166700410 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2008 |
NPI Last Update Date: | 05/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 06377R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |