| Physician Group Of Louisiana Inc | |
|
503 Mcmillan Rd West Monroe LA 71291-5327 | |
| (318) 329-4200 | |
| (318) 329-4710 |
| Full Name | Physician Group Of Louisiana Inc |
|---|---|
| Speciality | General Practice |
| Location | 503 Mcmillan Rd, West Monroe, Louisiana |
| Authorized Official Name and Position | Jonathan A Demke (CEO) |
| Authorized Official Contact | 6154671072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Group Of Louisiana Inc Po Box 24573 Belfast ME 04915-4496 Ph: (855) 660-0300 | Physician Group Of Louisiana Inc 503 Mcmillan Rd West Monroe LA 71291-5327 Ph: (318) 329-4200 |
| NPI Number | 1932662616 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 04/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932662616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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