GORDON B MASSENGALE A MEDICAL CORP

RAYVILLE, LA
NPI1154642015
Entity TypeOrganization
Authorized ContactGORDON B MASSENGALE
President
318-728-3263
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  012197)
Enumeration Date2010-06-15
Last Update Date2010-06-15
Business Address
GORDON B MASSENGALE A MEDICAL CORP
111 CHRISTIAN DR
RAYVILLE, LA 71269-3658
Phone number: 318-728-3263
Mailing Address
GORDON B MASSENGALE A MEDICAL CORP
PO BOX 960
RAYVILLE, LA 71269-0960
Phone number: 318-728-3263
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