| Boersma Clinic, Llc | |
|
765 S Bonner St Ruston LA 71270-5801 | |
| (318) 255-2733 | |
| (318) 254-1066 |
| Full Name | Boersma Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 765 S Bonner St, Ruston, Louisiana |
| Authorized Official Name and Position | Rachel Stack Boersma (OWNER) |
| Authorized Official Contact | 3182552733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boersma Clinic, Llc 765 S Bonner St Ruston LA 71270-5801 Ph: (318) 255-2733 | Boersma Clinic, Llc 765 S Bonner St Ruston LA 71270-5801 Ph: (318) 255-2733 |
| NPI Number | 1104024686 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104024686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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