PEGASUS PRIMARY PROVIDERS, LLC

WEST MONROE, LA
NPI1982486395
Entity TypeOrganization
Authorized ContactGLENDA SHERRY PEVETO
Owner/Provider
318-325-6200
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2023-10-19
Last Update Date2023-10-19
Business Address
PEGASUS PRIMARY PROVIDERS, LLC
4624 CYPRESS ST STE 7
WEST MONROE, LA 71291-1348
Phone number: 318-325-6200
Mailing Address
PEGASUS PRIMARY PROVIDERS, LLC
PO BOX 2716
WEST MONROE, LA 71294-2716
Phone number:
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