SLIDELL INTERNAL MEDICINE CLINIC LLC

SLIDELL, LA
NPI1700090016
Entity TypeOrganization
Authorized ContactALLAN QUIBILAN LARCENA
Owner
985-646-0123
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  11339R)
Enumeration Date2007-05-09
Last Update Date2007-12-28
Business Address
SLIDELL INTERNAL MEDICINE CLINIC LLC
105 MEDICAL CENTER DR SUITE 301
SLIDELL, LA 70461-5544
Phone number: 985-646-0123
Mailing Address
SLIDELL INTERNAL MEDICINE CLINIC LLC
105 MEDICAL CENTER DR SUITE 301
SLIDELL, LA 70461-5544
Phone number: 985-646-0123
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