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Independence Medical Clinic, Llc
General Practice Physician in Independence, Louisiana
NPI 1669897609

Independence Medical Clinic, Llc is a General Practice Physician based in New Orleans, LA. Independence Medical Clinic, Llc practices in Independence, LA. The NPI Number for Independence Medical Clinic, Llc is 1669897609 and holds a License No. (Louisiana).

The current practice location address for Independence Medical Clinic, Llc is 281 W 4Th St, Independence, LA and can be reached out via phone at 504-338-4268.

Location: 281 W 4Th St, Independence, LA, 70124-2462
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Provider Profile Details
NPI Number
1669897609
Provider Name
Independence Medical Clinic, Llc
Credential
Provider Entity Type
Organization
Address
281 W 4Th St, Independence, LA, 70124-2462
Phone Number
504-338-4268
Fax Number
Provider Enumeration Date
02/27/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1910864 05 LA
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Provider Business Practice Location Address Details
Address
281 W 4Th St
City
State
Zip
70443-2386
Phone Number
504-338-4268
Fax Number
person
Provider Business Mailing Address Details
Address
281 W 4Th St
City
State
Zip
70443-2386
Phone Number
504-338-4268
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
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Definition
Definition to come...
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