NPI 1477888774

Outpatient Physician Practice No 5

Organisation Neurology with Special Qualifications in Child Neurology Physician Monroe, LA

Practice location

Address: 500 Hall St, Monroe, LA 71201-7531
Phone: (318) 966-7337
Mailing address: PO Box 3249, Monroe, LA 71210-3249

Authorised official

Name: Ronald Hogan
Title: Sr Vp & Cfo
Phone: (318) 966-7369

Registered specialties

Neurology with Special Qualifications in Child Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0402X

Other Psychiatry & Neurology providers in Louisiana →

Registry record

NPI: 1477888774
Entity type: Organization
NPI issued: 5 Oct 2009
Record last updated: 9 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.