| Outpatient Medical Nutrition Therapy | |
|
920 Oliver Road Suite 1450 Monroe LA 71201-7529 | |
| (318) 327-6271 | |
| (318) 327-5260 |
| Full Name | Outpatient Medical Nutrition Therapy |
|---|---|
| Speciality | Clinic/center |
| Location | 920 Oliver Road, Monroe, Louisiana |
| Authorized Official Name and Position | Ronald Hogan (CFO SR VP) |
| Authorized Official Contact | 3183277369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outpatient Medical Nutrition Therapy Po Box 1901 Monroe LA 71210-1901 Ph: (318) 327-4073 | Outpatient Medical Nutrition Therapy 920 Oliver Road Suite 1450 Monroe LA 71201-7529 Ph: (318) 327-6271 |
| NPI Number | 1508856253 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508856253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 157H (Louisiana) | Primary |
Affinity Central Lab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Rd, Suite C, Monroe, LA 71201 Phone: 318-812-7050 Fax: 318-812-7053 | |
Integrated Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Tower Dr, Monroe, LA 71201 Phone: 318-410-1044 | |
South Ouachita Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4310 S Grand St Ste 1, Monroe, LA 71202 Phone: 318-746-0420 Fax: 318-752-1940 | |
Phsc Desiard Street Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2913 Desiard St, Monroe, LA 71201 Phone: 318-651-9914 Fax: 318-410-0688 | |
David L. Barnes, Md, Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694 | |
J Dean Stockstill Md, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131 | |
Affinity Health Group Ulm Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 University Ave, Monroe, LA 71209 Phone: 318-342-1651 Fax: 318-342-3280 |