specializing in internal medicine in Bastrop, Louisiana

NPI: 1053506592

Provider Type

2

Practice Locations

Mailing Location

PO BOX 4199

MONROE, LA 71211

📞 3182812008

📠 3182812038

Practice Location

501 DURHAM ST

BASTROP, LA 71220

📞 3182812008

📠 3182812038

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:9/7/2007
Last Updated:3/13/2012

Credentials

Primary Credential:
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