institution
Southern Pediatric Clinic
Health Service Clinic/Center in Oakdale, Louisiana
NPI 1104296417

Southern Pediatric Clinic is a Health Service Clinic/Center based in Oakdale, LA and is specialized in Health Service. Southern Pediatric Clinic practices in Oakdale, LA. The NPI Number for Southern Pediatric Clinic is 1104296417 and holds a License No. MD12866R (Louisiana).

The current practice location address for Southern Pediatric Clinic is 905 E 7Th Ave, Oakdale, LA and can be reached out via phone at 318-215-8150 and via fax at 318-215-8151.

Location: 905 E 7Th Ave, Oakdale, LA, 71463-2797
institution
Provider Profile Details
NPI Number
1104296417
Provider Name
Southern Pediatric Clinic
Credential
Provider Entity Type
Organization
Address
905 E 7Th Ave, Oakdale, LA, 71463-2797
Phone Number
318-215-8150
Fax Number
318-215-8151
Provider Enumeration Date
09/29/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1449237 05 LA
institution
Provider Business Practice Location Address Details
Address
905 E 7Th Ave
City
State
Zip
71463-2797
Phone Number
318-215-8150
Fax Number
318-215-8151
person
Provider Business Mailing Address Details
Address
905 E 7Th Ave
City
State
Zip
71463-2797
Phone Number
318-215-8150
Fax Number
318-215-8151
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
MD12866R (Louisiana)
Definition
Definition to come...
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