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Organization
VASCULAR ACCESS CENTER OF SOUTHWEST LOUISIANA LLC
Active
Organization
VASCULAR ACCESS CENTER OF SOUTHWEST LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FREDERICK MCGUCKIN MD (CEO/MEDICAL DIRECTOR)
(215) 382-3680
Entity
Organization
Contact information
Practice address
1340 SURREY ST, SUITE 101, LAFAYETTE, LA 70501-7618
(337) 205-4330
(337) 205-4331
Mailing address
PO BOX 38574, PHILADELPHIA, PA 19104-8574
(215) 382-3680
(215) 382-3683
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD.202013
LA
Other
Enumeration date
12/22/2008
Last updated
08/11/2009
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