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NPI Code Detail

MEDICARE: WOMEN'S CLINIC OF SOUTHWEST LA.

MEDICARE: WOMEN'S CLINIC OF SOUTHWEST LA.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942346861
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMEN'S CLINIC OF SOUTHWEST LA.
Provider Business Mailing Address
First Line : 206 W 5TH ST
Second Line :
City : DERIDDER
State : LA
Zip : 70634-4856
Country : US
Telephone Number : 337-463-5582
Fax Number : 337-460-1348
Provider Business Practice Location Address
First Line : 206 W 5TH ST
Second Line :
City : DERIDDER
State : LA
Zip : 70634-4856
Country : US
Telephone Number : 337-463-5582
Fax Number : 337-460-1348
Authorized Official
Title or Position : DOCTOR
Name : DR. DAVID L JONES
Credential : M.D.
Telephone Number : 337-463-5582
Provider Enumeration Date : 01/29/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1750388856 — DR. JAMES R RUDD SR. M.D.
Practice Location Address:
206 W 5TH ST
DERIDDER, LA
70634-4856
Practice Phone: 337-463-5582
Practice Fax: 337-460-1348
1043217144 — DR. HUBERT E KLEINPETER M.D.
Practice Location Address:
206 W 5TH ST
DERIDDER, LA
70634-4856
Practice Phone: 337-463-5582
Practice Fax: 337-460-1348
1114924826 — DR. DAVID L JONES M.D.
Practice Location Address:
206 W 5TH ST
DERIDDER, LA
70634-4856
Practice Phone: 337-463-5582
Practice Fax: 337-460-1348
1922218429 — DR. JAMES ROBERT RUDD JR. M.D.
Practice Location Address:
206 W 5TH ST
DERIDDER, LA
70634-4856
Practice Phone: 337-463-5582
Practice Fax: 337-460-1348
1184881021 — MARLA SCOTT KELLY MD
Practice Location Address:
206 W 5TH ST
DERIDDER, LA
70634-4856
Practice Phone: 337-462-7160
Practice Fax: 337-462-7103
1134357064 — JENNIFER R. MCCANN, M.D., LLC
Practice Location Address:
206 W 5TH ST
DERIDDER, LA
70634-4856
Practice Phone: 337-463-5582
Practice Fax: 337-460-1348

Directions to “WOMEN'S CLINIC OF SOUTHWEST LA. ” Practice Location

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