JONATHAN MACK BARHAM

MONROE, LA
NPI1992702641
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: LA  07884R)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: TX  F0865)
Enumeration Date2005-07-07
Last Update Date2007-07-08
Business Address
-- JONATHAN MACK BARHAM M. D.
3418 MEDICAL PARK DR SUITE 5
MONROE, LA 71203-2376
Phone number: 318-388-8190
Mailing Address
-- JONATHAN MACK BARHAM M. D.
3418 MEDICAL PARK DR SUITE 5
MONROE, LA 71203-2376
Phone number: 318-388-8190
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