| Stell Family Practice | |
|
102 Office Park Dr Minden LA 71055-3086 | |
| (318) 377-2885 | |
| (318) 377-2886 |
| Full Name | Stell Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 102 Office Park Dr, Minden, Louisiana |
| Authorized Official Name and Position | Gerald M Stell (PROPRIETOR) |
| Authorized Official Contact | 3183772885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stell Family Practice 102 Office Park Dr Minden LA 71055-3086 Ph: (318) 377-2885 | Stell Family Practice 102 Office Park Dr Minden LA 71055-3086 Ph: (318) 377-2885 |
| NPI Number | 1386796175 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 05/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386796175 | NPI | - | NPPES |
| 1448079 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 019384 (Louisiana) | Primary |
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