| Scott L Mighell Md | |
|
2300 Hospital Dr Suite 200 Bossier City LA 71111-2394 | |
| (318) 212-7830 | |
| (318) 212-7835 |
| Full Name | Scott L Mighell Md |
|---|---|
| Speciality | Family Medicine |
| Location | 2300 Hospital Dr, Bossier City, Louisiana |
| Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182128780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott L Mighell Md 2300 Hospital Dr Suite 200 Bossier City LA 71111-2394 Ph: (318) 212-7830 | Scott L Mighell Md 2300 Hospital Dr Suite 200 Bossier City LA 71111-2394 Ph: (318) 212-7830 |
| NPI Number | 1225070709 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225070709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Abaka Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4438 Viking Dr, Bossier City, LA 71111 Phone: 318-918-0015 Fax: 318-963-0015 | |
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