Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALVAH TYSON WICKBOLDT JR., M.D.
ActiveALVAH TYSON WICKBOLDT JR., M.D. is a Vascular Surgery healthcare provider located in NEW ORLEANS, Louisiana. NPI 1083971006 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · NEW ORLEANS, LA
Registration Details
- NPI Number
- 1083971006
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2012 (14.347431016584 yrs)
- Last Updated
- Jul 21, 2022
- License
-
305062 (LA)
Practice Information
- Address
-
1514 JEFFERSON HWYBRENT HOUSE ROOM 634NEW ORLEANS, LA, 701212429Browse LA providers · Browse ZIP 70121
- Phone
- 5048423000
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Vascular Surgery
Other Vascular Surgery Providers in NEW ORLEANS, LA
| Name | Credential | NPI |
|---|---|---|
| TREVOR JACOB JOHNSON | MD | 1023501707 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.