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“Medical Physician Assistant” (Fort Polk, LA)

Location: Fort Polk, LA
Taxonomy: Medical Physician Assistant.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1255480018 — MICHAEL DAVIDSON PA-C
Practice Location Address:
1585 3RD ST
FORT POLK LA
71459-5102
Practice Phone: 337-531-3517
1477687952 — KELLY J MARCOUX P.A.-C
Practice Location Address:
BAYNE-JONES ARMY COMMUNITY HOSPITAL 1585 THIRD ST
FORT POLK LA
71459
Practice Phone: 337-531-0297
1700657855 — JEFFREY D OLFERT PA-C
Practice Location Address:
1585 THIRD ST BAYNE-JONES ARMY COMMUNITY HOSPITAL
FORT POLK LA
71459
Practice Phone: 206-550-0456
1720346943 — MRS. ANTQUALENE LAVETTE JOHNSON PA-C
Practice Location Address:
2260 GLORY LOOP BLDG 1260
FORT POLK LA
71446
Practice Phone: 337-531-4127
1730241167 — NIKKI MICSHAWN LEWIS PA
Practice Location Address:
1585 3RD ST
FORT POLK LA
71459-5102
Practice Phone: 337-531-4126
1992765101 — MR. DENNIS MICHAEL SOSENKO PA-C
Practice Location Address:
USAMEDDAC 1585 3RD ST
FORT POLK LA
71459-5110
Practice Phone: 337-531-3529

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