Ekg Physicians | |
2408 Broadmoor Blvd Monroe LA 71201-2963 | |
(318) 410-0002 | |
(318) 410-1960 |
Full Name | Ekg Physicians |
---|---|
Speciality | Family Medicine |
Location | 2408 Broadmoor Blvd, Monroe, Louisiana |
Authorized Official Name and Position | Robyn J. Hemphill (CEO/CNO) |
Authorized Official Contact | 3184100002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ekg Physicians 2408 Broadmoor Blvd Monroe LA 71201-2963 Ph: (318) 410-0002 | Ekg Physicians 2408 Broadmoor Blvd Monroe LA 71201-2963 Ph: (318) 410-0002 |
NPI Number | 1962697102 |
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Provider Enumeration Date | 09/11/2007 |
Last Update Date | 01/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962697102 | NPI | - | NPPES |
1443735 | Medicaid | LA | |
G3230 | Other | LA | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
282N00000X | General Acute Care Hospital | 475 (Louisiana) | Secondary |
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