Basic Information
Provider Information
NPI: 1346209806
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MOKRY
FirstName: DANIEL
MiddleName: P.
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 OCHSNER BLVD
Address2:  
City: COVINGTON
State: LA
PostalCode: 704338107
CountryCode: US
TelephoneNumber: 9858752828
FaxNumber:  
Practice Location
Address1: 1000 OCHSNER BLVD
Address2:  
City: COVINGTON
State: LA
PostalCode: 704338107
CountryCode: US
TelephoneNumber: 9858752828
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/22/2006
LastUpdateDate: 05/20/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X14864RLAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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