| Dr Robert Adam Brocato Llc | |
|
240 Highland Drive Many LA 71449-3718 | |
| (318) 256-5691 | |
| Not Available |
| Full Name | Dr Robert Adam Brocato Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 240 Highland Drive, Many, Louisiana |
| Authorized Official Name and Position | Robert Adam Brocato (OWNER) |
| Authorized Official Contact | 3182565691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Adam Brocato Llc Po Box 2673 Natchitoches LA 71457-2673 Ph: (800) 684-0052 | Dr Robert Adam Brocato Llc 240 Highland Drive Many LA 71449-3718 Ph: (318) 256-5691 |
| NPI Number | 1699024901 |
|---|---|
| Provider Enumeration Date | 08/31/2012 |
| Last Update Date | 10/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699024901 | NPI | - | NPPES |
| 1052400 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Louisiana) | Primary |
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