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Organization
AFFINITY HEALTH GROUP, LLC
Active
Organization
AFFINITY HEALTH GROUP, LLC
Active
Other names
Sampognaro Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE BREARD (EVP)
(318) 361-0900
Entity
Organization
Contact information
Practice address
1 BANCROFT CIR, MONROE, LA 71201-5101
(318) 361-0995
(318) 361-0997
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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