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Organization
FAIR MEDICAL CLINIC APMC
Active
Organization
FAIR MEDICAL CLINIC APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DAVID FAIR M.D. (OWNER/PHYSICIAN)
(318) 352-6800
Entity
Organization
Contact information
Practice address
615 BIENVILLE ST, NATCHITOCHES, LA 71457-5730
(318) 352-6800
(318) 352-6803
Mailing address
615 BIENVILLE ST, NATCHITOCHES, LA 71457-5730
(318) 352-6800
(318) 352-6800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.202650
LA
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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