Deer Creek Imaging Center

NPI 1013900760 - Clinic/Center - 261QM1200X

NPI Details
NPI 1013900760
Enumeration Date 08/29/2005
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 13 years ago
Authorized Information
Name GREGORY D GREGORY
Position MANAGING DIRECTOR
Phone (337) 392-1363
Fax
Practice Location
301 W FERTITTA BLVD STE 1
LEESVILLE LA, 71446-4665, US
Phone (337) 392-1363
Fax
Business Location
301 W FERTITTA BLVD STE 1
LEESVILLE LA, 71446-4665, US
Phone (337) 392-1363
Fax
Toxanomy
Taxonomy Code 261QM1200X
License State
License Number
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According to our database, Deer Creek Imaging Center NPI is 1013900760, taxonomy code is 261QM1200X Deer Creek Imaging Center physically located at 301 W Fertitta Blvd Ste 1, Leesville LA, 71446-4665. NPI Number 1033115704 has the healthcare provider type.

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1013900760 NPI number is provided on an as is basis without warranty of any kind. 1013900760 is maintained by the National Plan & Provider Enumeration System. The contents of Deer Creek Imaging Center are for informational purposes only.