PROVIDENCE MEDICAL CLINIC

BATON ROUGE, LA
NPI1700092442
Entity TypeOrganization
Authorized ContactCUONG MINH PHO
Office Manager
225-766-8152
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2007-05-16
Last Update Date2020-08-22
Business Address
PROVIDENCE MEDICAL CLINIC
9270 SIEGEN LN SUITE 202
BATON ROUGE, LA 70810-1998
Phone number: 225-766-8152
Mailing Address
PROVIDENCE MEDICAL CLINIC
1229 TANGLEBRIAR DR
BATON ROUGE, LA 70810-5195
Phone number: 225-766-4213
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