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Organization

CYNTHIA P. BIMLE, MD, APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERONICA J. HOLSTEAD (OFFICE MANAGER)
(318) 324-0111
Entity
Organization

Contact information

Practice address
107 CONTEMPO AVE, WEST MONROE, LA 71291-5382
(318) 324-0111
(318) 324-9679
Mailing address
107 CONTEMPO AVE, WEST MONROE, LA 71291-5382
(318) 324-0111
(318) 324-9679

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12124R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1697117
LA
Enumeration date
11/14/2016
Last updated
11/14/2016
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