| Outpatient Physician Practice No 5 | |
|
500 Hall St Monroe LA 71201-7531 | |
| (318) 966-7337 | |
| Not Available |
| Full Name | Outpatient Physician Practice No 5 |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 500 Hall St, Monroe, Louisiana |
| Authorized Official Name and Position | Ronald Hogan (SR VP & CFO) |
| Authorized Official Contact | 3189667369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outpatient Physician Practice No 5 Po Box 3249 Monroe LA 71210-3249 Ph: (318) 396-2715 | Outpatient Physician Practice No 5 500 Hall St Monroe LA 71201-7531 Ph: (318) 966-7337 |
| NPI Number | 1477888774 |
|---|---|
| Provider Enumeration Date | 10/05/2009 |
| Last Update Date | 02/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477888774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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