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Michael Proctor
Family Medicine Physician in Monroe, Louisiana
NPI 1710144902

Michael Proctor is a Family Medicine Physician based in Monroe, LA. Michael Proctor practices in Monroe, LA. The NPI Number for Michael Proctor is 1710144902 and holds a License No. 204759 (Louisiana).

The current practice location address for Michael Proctor is 4864 Jackson St, Monroe, LA and can be reached out via phone at 318-333-0703 and via fax at 318-330-7648.

Location: 4864 Jackson St, Monroe, LA, 71201-3084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710144902
Provider Name
Michael Proctor
Credential
Provider Entity Type
Individual
Gender
Male
Address
4864 Jackson St, Monroe, LA, 71201-3084
Phone Number
318-333-0703
Fax Number
318-330-7648
Provider Enumeration Date
05/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1063223 05 LA
institution
Provider Business Practice Location Address Details
Address
4864 Jackson St
City
Monroe
State
Louisiana
Zip
71202-6400
Phone Number
318-333-0703
Fax Number
318-330-7648
person
Provider Business Mailing Address Details
Address
4864 Jackson St
City
Monroe
State
Louisiana
Zip
71202-6400
Phone Number
318-333-0703
Fax Number
318-330-7648
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
204759 (Louisiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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