institution
Moss Street Medical Clinic Inc
Medical Physician Assistant in Lafayette, Louisiana
NPI 1417085192

Moss Street Medical Clinic Inc is a Medical Physician Assistant based in Lafayette, LA and is specialized in Medical. Moss Street Medical Clinic Inc practices in Lafayette, LA. The NPI Number for Moss Street Medical Clinic Inc is 1417085192 and holds a License No. A10226 (Louisiana).

The current practice location address for Moss Street Medical Clinic Inc is 1417 Moss St, Lafayette, LA and can be reached out via phone at 337-232-3371 and via fax at 337-232-3511. You can also correspond with Moss Street Medical Clinic Inc through the mailing address at 1417 MOSS ST, LAFAYETTE, LA - 70501-3654 (mailing address contact number: 337-232-3371).

Location: 1417 Moss St, Lafayette, LA, 70501-3654
institution
Provider Profile Details
NPI Number
1417085192
Provider Name
Moss Street Medical Clinic Inc
Credential
Provider Entity Type
Organization
Address
1417 Moss St, Lafayette, LA, 70501-3654
Phone Number
337-232-3371
Fax Number
337-232-3511
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1448397 05 LA
institution
Provider Business Practice Location Address Details
Address
1417 Moss St
City
State
Zip
70501-3654
Phone Number
337-232-3371
Fax Number
337-232-3511
person
Provider Business Mailing Address Details
Address
1417 Moss St
City
State
Zip
70501-3654
Phone Number
337-232-3371
Fax Number
337-232-3511
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
A10226 (Louisiana)
Definition
Definition to come...
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