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112 Saint John St Monroe LA 71201-7322 | |
(318) 387-5681 | |
(318) 322-9957 |
Full Name | |
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Speciality | Family Medicine |
Location | 112 Saint John St, Monroe, Louisiana |
Authorized Official Name and Position | Mike Breard (VICE PRESIDENT) |
Authorized Official Contact | 3183610900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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130 Desiard St Ste 355 Monroe LA 71201-7319 Ph: (318) 807-7875 | 112 Saint John St Monroe LA 71201-7322 Ph: (318) 387-5681 |
NPI Number | 1184791287 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 07/05/2011 |
Identifier | Type | State | Issuer |
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1184791287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD016846 (Louisiana) | Primary |
363LF0000X | Nurse Practitioner - Family | AP04747 (Louisiana) | Secondary |
Integrated Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Tower Dr, Monroe, LA 71201 Phone: 318-410-1044 | |
David L. Barnes, Md, Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694 | |
J Dean Stockstill Md, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131 | |