# MINDEN PHYSICIAN PRACTICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063826808
- **Authorized official:** JESS N JUDY (PRESIDENT)
- **Authorized official phone:** (615) 920-7212

## Contact information

- **Practice address:** 2001 DOCTORS DR, SPRINGHILL, LA 71075-4526
- **Practice address phone:** (318) 377-8855
- **Mailing address:** PO BOX 1095, MINDEN, LA 71058-1095
- **Mailing address phone:** (318) 377-8855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | DPM.200064 | LA | Yes |

## Other

- **Enumeration date:** 06/19/2014
- **Last updated:** 06/19/2014