MAIN STREET PHYSICIAN SERVICES LLC

NEW IBERIA, LA
NPI1396150785
Entity TypeOrganization
Authorized ContactLISHA C FALK
VP Of Contracting
337-609-1221
Organization Subpart ?No
Primary Taxonomy208M00000X Hospitalist
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
363A00000X Physician Assistant
363L00000X Nurse Practitioner
364SR0400X Clinical Nurse Specialist, Rehabilitation
Enumeration Date2014-06-25
Last Update Date2022-03-23
Business Address
MAIN STREET PHYSICIAN SERVICES LLC
2315 E MAIN ST
NEW IBERIA, LA 70560-4031
Phone number: 800-893-9698
Mailing Address
MAIN STREET PHYSICIAN SERVICES LLC
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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