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NPI Code Detail

MEDICARE: ALEXANDRIA WOMENS CENTER A MEDICAL

MEDICARE: ALEXANDRIA WOMENS CENTER A MEDICAL
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
1207VX0000XObstetrics Physician

Other Identifiers

General Provider Information

NPI Number : 1295872992
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALEXANDRIA WOMENS CENTER A MEDICAL
Provider Business Mailing Address
First Line : P.O. BOX 13318
Second Line : SUITE 410
City : ALEXANDRIA
State : LA
Zip : 71315-9998
Country : US
Telephone Number : 318-443-7222
Fax Number : 318-443-7641
Provider Business Practice Location Address
First Line : 3304 MASONIC DRIVE
Second Line : SUITE 4001
City : ALEXANDRIA
State : LA
Zip : 71301-9998
Country : US
Telephone Number : 318-443-7222
Fax Number : 318-443-7641
Authorized Official
Title or Position : VICE PRESIDENT/TREASURER
Name : DR. GLENN RICHARD AUCOIN
Credential : M.D.
Telephone Number : 318-443-7222
Provider Enumeration Date : 01/31/2007
Last Update Date : 10/10/2019

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Directions to “ALEXANDRIA WOMENS CENTER A MEDICAL ” Practice Location

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