ASCENSION MEDICAL CLINIC, LLC

GONZALES, LA
NPI1104084938
Entity TypeOrganization
Authorized ContactSTEVEN L HOLMES
General Practioner
225-647-6636
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
(Licence: LA  MD09828R)
Enumeration Date2008-05-29
Last Update Date2008-05-29
Business Address
ASCENSION MEDICAL CLINIC, LLC
214 S BURNSIDE AVE STE A
GONZALES, LA 70737-3463
Phone number: 225-647-6636
Mailing Address
ASCENSION MEDICAL CLINIC, LLC
214 S BURNSIDE AVE STE A
GONZALES, LA 70737-3463
Phone number: 225-647-6636
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