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9605 Jefferson Hwy Ste. F River Ridge LA 70123-2550 | |
(504) 737-1600 | |
(504) 737-1264 |
Full Name | |
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Speciality | Internal Medicine |
Location | 9605 Jefferson Hwy, River Ridge, Louisiana |
Authorized Official Name and Position | Robert W Mccord (OWNER/PHYSICIANS) |
Authorized Official Contact | 5047381600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9605 Jefferson Hwy Ste. F River Ridge LA 70123-2550 Ph: (504) 737-1600 | 9605 Jefferson Hwy Ste. F River Ridge LA 70123-2550 Ph: (504) 737-1600 |
NPI Number | 1881881886 |
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Provider Enumeration Date | 10/03/2007 |
Last Update Date | 10/03/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881881886 | NPI | - | NPPES |
1945285 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MD016105 (Louisiana) | Primary |