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1770339731
NOVA PHYSICIAN GROUP PLLC
LAFAYETTE, LA
NPI
1770339731
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Entity Type
Organization
Authorized Contact
TERRENCE MORTON
Sr. Medical Director
312-733-9730
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
NOVA PHYSICIAN GROUP PLLC
2001 MOSS ST STE 1200
LAFAYETTE, LA 70501-2155
Phone number: 337-761-0211
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Mailing Address
NOVA PHYSICIAN GROUP PLLC
30 W MONROE ST STE 1200
CHICAGO, IL 60603-2420
Phone number: 773-352-1515
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