NPI | 1316119167 |
---|---|
Doing Business As | COMPHREHENSIVE CLINIC OF MONROE |
Entity Type | Organization |
Authorized Contact | MELANIE H SOTAK Director Of Managed Care 318-675-7737 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 142) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 142) |
207V00000X Obstetrics & Gynecology (Licence: LA 142) | |
208000000X Pediatrics (Licence: LA 142) | |
Enumeration Date | 2008-04-01 |
Last Update Date | 2008-04-01 |