| Waldheim Family Practice Clinic | |
|
77173 Highway 21 Covington LA 70435-4011 | |
| (985) 893-0486 | |
| (985) 893-0349 |
| Full Name | Waldheim Family Practice Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 77173 Highway 21, Covington, Louisiana |
| Authorized Official Name and Position | Richard J Sanders (PHYSICIAN) |
| Authorized Official Contact | 9858930486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waldheim Family Practice Clinic 77173 Highway 21 Covington LA 70435-4011 Ph: (985) 893-0486 | Waldheim Family Practice Clinic 77173 Highway 21 Covington LA 70435-4011 Ph: (985) 893-0486 |
| NPI Number | 1811183221 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811183221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 017339 (Louisiana) | Primary |
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