NORTHEAST RENAL & DIALYSIS, A PROFESSIONAL MEDICAL CORPORATION

MONROE, LA
NPI1578989505
Entity TypeOrganization
Authorized ContactDAVID EARL PRUETT
President/Owner
318-325-5435
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: LA  MD.204452)
Enumeration Date2014-03-14
Last Update Date2014-10-22
Business Address
NORTHEAST RENAL & DIALYSIS, A PROFESSIONAL MEDICAL CORPORATION
1908 ROYAL AVE
MONROE, LA 71201-5724
Phone number: 318-325-5435
Mailing Address
NORTHEAST RENAL & DIALYSIS, A PROFESSIONAL MEDICAL CORPORATION
1908 ROYAL AVE
MONROE, LA 71201-5724
Phone number: 318-325-5435
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