North Bossier Family Medicine

NPI 1457411837 - Family Medicine - 207Q00000X

NPI Details
NPI 1457411837
Enumeration Date 12/08/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VICKI S. VICKI
Position OWNER
Phone (318) 965-9644
Fax (318) 965-9640
Practice Location
4707 PALMETTO RD
BENTON LA, 71006-9712, US
Phone (318) 965-9644
Fax (318) 965-9640
Business Location
4707 PALMETTO RD
BENTON LA, 71006-9712, US
Phone (318) 965-9644
Fax (318) 965-9640
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, North Bossier Family Medicine NPI is 1457411837, taxonomy code is 207Q00000X North Bossier Family Medicine physically located at 4707 Palmetto Rd, Benton LA, 71006-9712. NPI Number 1033115704 has the healthcare provider type.

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1457411837 NPI number is provided on an as is basis without warranty of any kind. 1457411837 is maintained by the National Plan & Provider Enumeration System. The contents of North Bossier Family Medicine are for informational purposes only.