is a Medical in Fort Polk, Louisiana. practices all healthcare services and medical treatments related to Medical. The NPI Number for is 1326198698. The last update date is .
's current location address is 1585 3rd St, Fort Polk, Louisiana. You can contact this provider via phone number 3375313368. The mailing address for is 1585 3rd St, Fort Polk, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1585 3rd St, Fort Polk, Louisiana |
| Phone Number | 3375313368 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1326198698 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1585 3rd St |
|---|---|
| City | Fort Polk |
| State | Louisiana (LA) |
| Post Code | 714595102 |
| Phone Number | 3375313368 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | MED-PAC-LIC- |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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