Clint C Guillory MD

NPI 1891852984 - Family Medicine - 207Q00000X

NPI Details
NPI 1891852984
Gender Male
Enumeration Date 01/02/2007
Last Updated 01/06/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
2408 BROADMOOR BOULEVARD
SUITE 2
MONROE LA, 71201, US
Phone (318) 807-7875
Fax (318) 812-9997
Business Location
130 DESIARD STREET
SUITE 355
MONROE LA, 71201, US
Phone (318) 807-7875
Fax (318) 812-9997
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number 015565
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According to our database, Dr. Clint C Guillory MD NPI is 1891852984, taxonomy code is 207Q00000X and license number is 015565, license state is located at Louisiana. Clint C Guillory MD physically located at 2408 Broadmoor Boulevard, Monroe LA, 71201. NPI Number Clint C Guillory MD has the Individual type.

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1891852984 NPI number is provided on an as is basis without warranty of any kind. 1891852984 is maintained by the National Plan & Provider Enumeration System. The contents of Clint C Guillory MD are for informational purposes only.