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Organization
SURGERY CENTER OF WEST MONROE, LLC
Active
Organization
SURGERY CENTER OF WEST MONROE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND E HAIK JR. M.D. (MEDICAL DIRECTOR OWNER)
(318) 325-2610
Entity
Organization
Contact information
Practice address
102 REGENCY PL, WEST MONROE, LA 71291-4452
(318) 322-4888
(318) 325-2610
Mailing address
102 REGENCY PL, WEST MONROE, LA 71291-4452
(318) 322-4888
(318) 325-2610
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
111
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1125229
—
LA
01
—
490005527
RAILROAD MEDICARE
LA
Enumeration date
01/09/2007
Last updated
05/06/2008
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