| Kenneth P. Mauterer Md A Medical Corp | |
|
1148 N Pine Road Olla LA 71465 | |
| (318) 495-3131 | |
| (318) 495-3677 |
| Full Name | Kenneth P. Mauterer Md A Medical Corp |
|---|---|
| Speciality | General Practice |
| Location | 1148 N Pine Road, Olla, Louisiana |
| Authorized Official Name and Position | Kenneth P Mauterer (PRESIDENT) |
| Authorized Official Contact | 3184953131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth P. Mauterer Md A Medical Corp Po Box 668 Olla LA 71465-0668 Ph: (318) 495-3131 | Kenneth P. Mauterer Md A Medical Corp 1148 N Pine Road Olla LA 71465 Ph: (318) 495-3131 |
| NPI Number | 1205018017 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 12/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205018017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 012667 (Louisiana) | Primary |
Hardtner Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1049 North Pine Road, Olla, LA 71465 Phone: 318-495-3880 Fax: 318-495-3882 | |
Hardtner Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 North Pine Rd, Olla, LA 71465 Phone: 318-495-3131 | |
Hardtner Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 North Pine Rd, Olla, LA 71465 Phone: 318-495-3131 |