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
1900 N 7TH ST, WEST MONROE, LA 71291-4416
(318) 651-7000
Mailing address
PO BOX 281796, ATLANTA, GA 30384-1796
(866) 243-7107
(314) 432-9683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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