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All Age Medical P.c., Inc.
Medical Specialty Clinic/Center in Bossier City, Louisiana
NPI 1548440811

All Age Medical P.c., Inc. is a Medical Specialty Clinic/Center based in Bossier City, LA and is specialized in Medical Specialty. All Age Medical P.c., Inc. practices in Bossier City, LA. The NPI Number for All Age Medical P.c., Inc. is 1548440811 and holds a License No. 14851R (Louisiana).

The current practice location address for All Age Medical P.c., Inc. is 2910 Shed Rd, Bossier City, LA and can be reached out via phone at 318-741-8100 and via fax at 318-741-5700.

Location: 2910 Shed Rd, Bossier City, LA, 71111-3154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548440811
Provider Name
All Age Medical P.c., Inc.
Credential
Provider Entity Type
Organization
Address
2910 Shed Rd, Bossier City, LA, 71111-3154
Phone Number
318-741-8100
Fax Number
318-741-5700
Provider Enumeration Date
11/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1150185 05 LA
5CF72 01 LA GROUP PTAN # (CMS)
institution
Provider Business Practice Location Address Details
Address
2910 Shed Rd
City
Bossier City
State
Louisiana
Zip
71111-3154
Phone Number
318-741-8100
Fax Number
318-741-5700
person
Provider Business Mailing Address Details
Address
2910 Shed Rd
City
Bossier City
State
Louisiana
Zip
71111-3154
Phone Number
318-741-8100
Fax Number
318-741-5700
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
14851R (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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