| Geoffrey A. Mire, Md Inc | |
|
202 Westgate Rd Lafayette LA 70506-2711 | |
| (337) 237-9009 | |
| (337) 232-1809 |
| Full Name | Geoffrey A. Mire, Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Westgate Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | Lisa Arabie (OFFICE MANAGER) |
| Authorized Official Contact | 3372379009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geoffrey A. Mire, Md Inc Po Box 1948 Scott LA 70583-1948 Ph: (337) 237-9009 | Geoffrey A. Mire, Md Inc 202 Westgate Rd Lafayette LA 70506-2711 Ph: (337) 237-9009 |
| NPI Number | 1811161136 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Medicare PECOS PAC ID | 0446322572 |
|---|---|
| Medicare Enrollment ID | O20080708000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811161136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25427 (Louisiana) | Primary |
| Provider Name | Geoffrey A Mire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114959442 PECOS PAC ID: 1355437898 Enrollment ID: I20071016000001 |
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