Organization
STIEL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL HART MD (OWNER)
(504) 858-6386
Entity
Organization
Contact information
Practice address
4630 AMBASSADOR CAFFERY PKWY, STE 412, LAFAYETTE, LA 70508-6949
(337) 993-3933
Mailing address
4630 AMBASSADOR CAFFERY PKWY, STE 412, LAFAYETTE, LA 70508-6949
(337) 993-3933
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD.207283
LA
282NW0100X
Women's Hospital
MD.207283
LA
Other
Enumeration date
04/14/2016
Last updated
05/03/2016
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