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Peter Hertzak M.d. Pmc
Medical Specialty Clinic/Center in Slidell, Louisiana
NPI 1205075256

Peter Hertzak M.d. Pmc is a Medical Specialty Clinic/Center based in Slidell, LA and is specialized in Medical Specialty. Peter Hertzak M.d. Pmc practices in Slidell, LA. The NPI Number for Peter Hertzak M.d. Pmc is 1205075256 and holds a License No. 05273R (Louisiana).

The current practice location address for Peter Hertzak M.d. Pmc is 985 Robert Blvd Ste 102, Slidell, LA and can be reached out via phone at 985-641-6300 and via fax at 985-646-1409.

Location: 985 Robert Blvd Ste 102, Slidell, LA, 70458-2063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205075256
Provider Name
Peter Hertzak M.d. Pmc
Credential
Provider Entity Type
Organization
Address
985 Robert Blvd Ste 102, Slidell, LA, 70458-2063
Phone Number
985-641-6300
Fax Number
985-646-1409
Provider Enumeration Date
02/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1311308 05 LA
institution
Provider Business Practice Location Address Details
Address
985 Robert Blvd Ste 102
City
Slidell
State
Louisiana
Zip
70458-2063
Phone Number
985-641-6300
Fax Number
985-646-1409
person
Provider Business Mailing Address Details
Address
985 Robert Blvd Ste 102
City
Slidell
State
Louisiana
Zip
70458-2063
Phone Number
985-641-6300
Fax Number
985-646-1409
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
05273R (Louisiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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