Premium United Care Llc

NPI 1285067751 - Internal Medicine - 207RI0200X

NPI Details
NPI 1285067751
Enumeration Date 08/19/2013
Last Updated 03/28/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JOHN O JOHN
Position CEO
Phone (214) 909-9071
Fax
Practice Location
17000 MEDICAL CENTER DR
BATON ROUGE LA, 70816-3246, US
Phone (214) 909-9071
Fax
Business Location
2925 TRADITION AVE
BATON ROUGE LA, 70810-0336, US
Phone
Fax
Toxanomy
Taxonomy Code 207RI0200X
License State Louisiana
License Number 202997
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According to our database, Premium United Care Llc NPI is 1285067751, taxonomy code is 207RI0200X and license number is 202997, license state is located at Louisiana. Premium United Care Llc physically located at 17000 Medical Center Dr, Baton Rouge LA, 70816-3246. NPI Number 1033115704 has the healthcare provider type.

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1285067751 NPI number is provided on an as is basis without warranty of any kind. 1285067751 is maintained by the National Plan & Provider Enumeration System. The contents of Premium United Care Llc are for informational purposes only.