Dr Arthur E Liles, MD | |
2516 Broadmoor Blvd, Monroe, LA 71201-2988 | |
(318) 387-9420 | |
(318) 323-8216 |
Full Name | Dr Arthur E Liles |
---|---|
Gender | Male |
Speciality | Urology |
Location | 2516 Broadmoor Blvd, Monroe, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619903572 | NPI | - | NPPES |
1314480 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 013314 (Louisiana) | Primary |
Entity Name | Affinity Health Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
Mailing Address | Practice Location Address |
---|---|
Dr Arthur E Liles, MD 130 Desiard St, Suite 355, Monroe, LA 71201-7319 Ph: (318) 807-7875 | Dr Arthur E Liles, MD 2516 Broadmoor Blvd, Monroe, LA 71201-2988 Ph: (318) 387-9420 |
Odell Joseph Dean Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2516 Broadmoor Blvd, Monroe, LA 71201 Phone: 318-807-1390 Fax: 318-807-1394 | |
Robert L Humble, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2516 Broadmoor Blvd, Monroe, LA 71201 Phone: 318-807-1390 Fax: 318-807-1394 | |
Dr. Jon Bradley Johnson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2516 Broadmoor Blvd, Monroe, LA 71201 Phone: 318-387-9420 Fax: 318-323-8216 | |
Dr. Don F Marx, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3510 Magnolia Cv, Suite 170, Monroe, LA 71203 Phone: 318-387-9774 Fax: 318-322-7306 | |
Dr. John Michael Cage, MD Urology Medicare: Medicare Enrolled Practice Location: 312 Grammont St Ste 411, Monroe, LA 71201 Phone: 318-966-6622 Fax: 318-966-6621 |