| Escipion Pedroza | |
|
1700 Cannes Dr La Place LA 70068-2407 | |
| (985) 658-1689 | |
| (985) 652-1778 |
| Full Name | Escipion Pedroza |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1700 Cannes Dr, La Place, Louisiana |
| Authorized Official Name and Position | Terry L Bozeman (OFFICE MANAGER) |
| Authorized Official Contact | 5044542260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Escipion Pedroza 1700 Cannes Dr La Place LA 70068-2407 Ph: (985) 658-1689 | Escipion Pedroza 1700 Cannes Dr La Place LA 70068-2407 Ph: (985) 658-1689 |
| NPI Number | 1134180011 |
|---|---|
| Provider Enumeration Date | 03/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134180011 | NPI | - | NPPES |
| 1319643 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | M.D.05646R (Louisiana) | Primary |
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