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Organization

ROGER D RHOLDON JR

Active
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Organization

ROGER D RHOLDON JR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLAIRE MELANCON (CREDENTIALING)
(337) 367-2001
Entity
Organization

Contact information

Practice address
6100 CAMERON ST, SCOTT, LA 70583-5144
(337) 289-6770
Mailing address
6100 CAMERON ST, SCOTT, LA 70583-5144
(337) 289-6770

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP07699
LA

Other

Enumeration date
04/03/2014
Last updated
07/11/2014
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