OrganizationActive
West Jefferson Physician Services
NPI 1669549283 · Pediatric Allergy/Immunology Physician · Marrero, LA
Provider details
- NPI number
- 1669549283
- Entity type
- Organization
- Primary specialty
- Pediatric Allergy/Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Heidi Gwinn, Credentialing Coord.(504) 349-1297
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Gastroenterology Physician2080P0206X
Allopathic & Osteopathic Physicians
- Pediatric Pulmonology Physician2080P0214X
Allopathic & Osteopathic Physicians
Practice location
1111 Medical Center Blvd
Suite S650
Marrero, LA 70072-3151
Phone: (504) 349-6504
Fax: (504) 349-6528
Approximate (ZIP-level) locationGet directions
Mailing address
1111 Medical Center Blvd
Marrero, LA 70072-3151
Other names (DBA / former)
- Doing business as
- Pediatric Specialty
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.