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NPI Code Detail

MEDICARE: SAFFORD HEALTH CARE LLC

MEDICARE: SAFFORD HEALTH CARE LLC
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
1207QG0300XGeriatric Medicine (Family Medicine) PhysicianMD.200988LA

General Provider Information

NPI Number : 1467753905
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAFFORD HEALTH CARE LLC
Provider Business Mailing Address
First Line : 4830 S RIVER RD
Second Line :
City : PORT ALLEN
State : LA
Zip : 70767-5917
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3851 S SHERWOOD FOREST BLVD
Second Line : STE 360
City : BATON ROUGE
State : LA
Zip : 70816-4361
Country : US
Telephone Number : 225-293-0068
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : DR. NOEMIE SAFFORD
Credential : M.D.
Telephone Number : 225-892-3923
Provider Enumeration Date : 11/16/2010
Last Update Date : 11/16/2010

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Directions to “SAFFORD HEALTH CARE LLC ” Practice Location

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