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Organization
PHYSICIAN GROUP OF LOUISIANA INC
Active
Organization
PHYSICIAN GROUP OF LOUISIANA INC
Active
Other names
STEWARD MEDICAL GROUP OF LOUISIANA
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN A DEMKE (CEO)
(615) 467-1072
Entity
Organization
Contact information
Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 329-4200
(318) 329-4710
Mailing address
PO BOX 24573, BELFAST, ME 04915-4496
(855) 660-0300
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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