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Organization
MSH CLINIC
Active
Organization
MSH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A BRENNAN M.D. (MEMBER)
(337) 981-2125
Entity
Organization
Contact information
Practice address
105 PATRIOT ST, SUITE 101, LAFAYETTE, LA 70508-6831
(337) 981-2125
(337) 981-2174
Mailing address
105 PATRIOT ST, SUITE 101, LAFAYETTE, LA 70508-6831
(337) 981-2125
(337) 981-2174
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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