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1629525753
MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC
NATCHITOCHES, LA
NPI
1629525753
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Entity Type
Organization
Authorized Contact
MARK DODSON
President
318-473-9556
Organization Subpart ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: LA 9317843)
Enumeration Date
2016-09-07
Last Update Date
2021-04-26
Business Address
MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC
134 EAST FIFTH STREET
NATCHITOCHES, LA 71457
Phone number: 318-473-9556
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Mailing Address
MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC
3444 MASONIC DRIVE
ALEXANDRIA, LA 71301
Phone number: 318-473-9556
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