Urology Clinic Of Northeast Louisiana - A Medical Corporation in Monroe - Urology
Urology Clinic Of Northeast Louisiana - A Medical Corporation - NPI 1760418396
Urology Clinic Of Northeast Louisiana - A Medical Corporation is a Urology in Monroe, Louisiana. Urology Clinic Of Northeast Louisiana - A Medical Corporation practices all healthcare services and medical treatments related to Urology. The NPI Number for Urology Clinic Of Northeast Louisiana - A Medical Corporation is 1760418396. The last update date is 2012-10-19.
Urology Clinic Of Northeast Louisiana - A Medical Corporation's current location address is 711 Saint John Street, Monroe, Louisiana. You can contact this provider via phone number 3183879420 and fax number 3183238216. The mailing address for Urology Clinic Of Northeast Louisiana - A Medical Corporation is 711 Saint John Street, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Urology Clinic Of Northeast Louisiana - A Medical Corporation |
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Address | 711 Saint John Street, Monroe, Louisiana |
Phone Number | 3183879420 |
Fax Number | 3183238216 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN |
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Authorized Official Name | Johnson Bradley Jon |
Credentials | MD |
Telephone Number | 3183879420 |
NPI Number Detail
NPI Number | 1760418396 |
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Provider Enumeration Date | 2006-06-24 |
Last Updated Date | 2012-10-19 |
Provider Mailing Address Detail
Address | 711 Saint John Street |
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City | Monroe |
State | Louisiana (LA) |
Post Code | 712018435 |
Phone Number | 3183879420 |
Fax Number | 3183238216 |
Provider's Primary Taxonomy Detail
Speciality | Urology |
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Taxonomy | 208800000X |
Licence No | 13314 |
Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1106607 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Urology Clinic Of Northeast Louisiana - A Medical Corporation by the Centers for Medicare & Medicaid Services?
The Urology Clinic Of Northeast Louisiana - A Medical Corporation has been assigned the NPI (National Provider Identifier) 1760418396 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Urology Clinic Of Northeast Louisiana - A Medical Corporation is located?
The Urology Clinic Of Northeast Louisiana - A Medical Corporation is situated at the following address: 711 Saint John Street, Monroe, LA, 712018435.
What is Urology Clinic Of Northeast Louisiana - A Medical Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Urology Clinic Of Northeast Louisiana - A Medical Corporation is Urology, and the taxonomy classification code that categorizes this area of expertise is 208800000X.
When did the Urology Clinic Of Northeast Louisiana - A Medical Corporation receive its 1760418396?
The Urology Clinic Of Northeast Louisiana - A Medical Corporation was issued its 1760418396 on 2006-06-24, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Urology Clinic Of Northeast Louisiana - A Medical Corporation last refreshed?
The information related to the Urology Clinic Of Northeast Louisiana - A Medical Corporation, including its address, specialty, and other relevant details, was last updated on 2012-10-19.