Organization
ALEXANDRIA PEDIATRIC GASTRO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSAM SUKEREK MD (OWNER)
(318) 256-5722
Entity
Organization
Contact information
Practice address
3311 PRESCOTT RD STE 210, ALEXANDRIA, LA 71301-3983
(318) 256-5722
(318) 256-5774
Mailing address
3311 PRESCOTT RD STE 210, ALEXANDRIA, LA 71301-3983
(318) 256-5722
(318) 256-5774
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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