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Organization
PHYSICIAN GROUP OF LOUISIANA INC
Active
Organization
PHYSICIAN GROUP OF LOUISIANA INC
Active
Other names
STEWARD MEDICAL GROUP OF LOUISIANA
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN A DEMKE (CEO)
(615) 467-1072
Entity
Organization
Contact information
Practice address
1900 N 7TH ST, WEST MONROE, LA 71291-4416
(318) 651-7000
Mailing address
PO BOX 281796, ATLANTA, GA 30384-1796
(866) 243-7107
(314) 432-9683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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