Organization
DEEKAY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBY AMAKU IBEKWE MD (MEDICAL DIRECTOR)
(225) 381-6478
Entity
Organization
Contact information
Practice address
3923 CONVENTION ST, BATON ROUGE, LA 70806-3806
(225) 381-6478
Mailing address
3923 CONVENTION ST, BATON ROUGE, LA 70806-3806
(225) 381-6478
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
L10582R
LA
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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