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Clark A Gunderson Md Amc
Clinic/Center in Lake Charles, Louisiana
NPI 1861766321

Clark A Gunderson Md Amc is a Clinic/Center based in Lake Charles, LA. Clark A Gunderson Md Amc practices in Lake Charles, LA. The NPI Number for Clark A Gunderson Md Amc is 1861766321 and holds a License No. 0124589 (Louisiana).

The current practice location address for Clark A Gunderson Md Amc is 2615 Enterprise Blvd, Lake Charles, LA and can be reached out via phone at 337-439-0385 and via fax at 337-433-5448.

Location: 2615 Enterprise Blvd, Lake Charles, LA, 70601-7686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861766321
Provider Name
Clark A Gunderson Md Amc
Credential
Provider Entity Type
Organization
Address
2615 Enterprise Blvd, Lake Charles, LA, 70601-7686
Phone Number
337-439-0385
Fax Number
337-433-5448
Provider Enumeration Date
03/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114305 05 LA
institution
Provider Business Practice Location Address Details
Address
2615 Enterprise Blvd
City
Lake Charles
State
Louisiana
Zip
70601-7686
Phone Number
337-439-0385
Fax Number
337-433-5448
person
Provider Business Mailing Address Details
Address
2615 Enterprise Blvd
City
Lake Charles
State
Louisiana
Zip
70601-7686
Phone Number
337-439-0385
Fax Number
337-433-5448
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
0124589 (Louisiana)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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