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920 Oliver Rd Monroe LA 71201-5702 | |
(318) 807-6250 | |
(318) 812-7345 |
Full Name | |
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Speciality | Family Medicine - Adolescent Medicine |
Location | 920 Oliver Rd, Monroe, Louisiana |
Authorized Official Name and Position | Janet L Justice (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 3188077875 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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130 Desiard St Ste 355 Monroe LA 71201-7363 Ph: (318) 807-7875 | 920 Oliver Rd Monroe LA 71201-5702 Ph: (318) 807-6250 |
NPI Number | 1992219786 |
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Provider Enumeration Date | 12/01/2017 |
Last Update Date | 12/01/2017 |
Identifier | Type | State | Issuer |
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1992219786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QA0000X | Family Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
Integrated Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Tower Dr, Monroe, LA 71201 Phone: 318-410-1044 | |
David L. Barnes, Md, Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694 | |
J Dean Stockstill Md, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131 | |