Pediatric Medical Clinic Inc

NPI 1043376007 - Pediatrics - 2080A0000X

NPI Details
NPI 1043376007
Enumeration Date 12/27/2006
Last Updated 07/16/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OLIVER ROY OLIVER
Position PHYSICIAN
Phone (985) 651-7444
Fax (985) 651-7449
Practice Location
501 RUE DE SANTE
SUITE 9
LA PLACE LA, 70068-5400, US
Phone (985) 651-7444
Fax (985) 651-7449
Business Location
501 RUE DE SANTE
SUITE 9
LA PLACE LA, 70068-5400, US
Phone (985) 651-7444
Fax (985) 651-7449
Toxanomy
Taxonomy Code 2080A0000X
License State Louisiana
License Number 015291
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According to our database, Pediatric Medical Clinic Inc NPI is 1043376007, taxonomy code is 2080A0000X and license number is 015291, license state is located at Louisiana. Pediatric Medical Clinic Inc physically located at 501 Rue De Sante, La Place LA, 70068-5400. NPI Number 1033115704 has the healthcare provider type.

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1043376007 NPI number is provided on an as is basis without warranty of any kind. 1043376007 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Medical Clinic Inc are for informational purposes only.