Organization
SULPHUR UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ALDERSON MD (OWNER/PRESIDENT)
(337) 528-7898
Entity
Organization
Contact information
Practice address
1327 STELLY LN, SUITE 2, SULPHUR, LA 70663-5641
(337) 528-7898
Mailing address
1327 STELLY LN, SUITE 2, SULPHUR, LA 70663-5641
(337) 528-7898
(337) 528-7427
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD07139R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1361674
—
LA
Enumeration date
06/20/2013
Last updated
06/10/2014
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