Desoto Regional Family Medicine

NPI 1043359839 - Clinic/Center - 261Q00000X

NPI Details
NPI 1043359839
Enumeration Date 02/06/2007
Last Updated 10/11/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JULIE JULIE
Position OFFICE MANAGER
Phone (318) 872-2700
Fax (318) 872-6214
Practice Location
130 JEFFERSON ST
MANSFIELD LA, 71052-2602, US
Phone (318) 872-2700
Fax (318) 872-6214
Business Location
130 JEFFERSON ST
MANSFIELD LA, 71052-2602, US
Phone (318) 872-2700
Fax (318) 872-6214
Toxanomy
Taxonomy Code 261Q00000X
License State Louisiana
License Number =========
Remove 1043359839 NPI Number
 

According to our database, Desoto Regional Family Medicine NPI is 1043359839, taxonomy code is 261Q00000X and license number is =========, license state is located at Louisiana. Desoto Regional Family Medicine physically located at 130 Jefferson St, Mansfield LA, 71052-2602. NPI Number 1033115704 has the healthcare provider type.

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1043359839 NPI number is provided on an as is basis without warranty of any kind. 1043359839 is maintained by the National Plan & Provider Enumeration System. The contents of Desoto Regional Family Medicine are for informational purposes only.