Organization
SUNSET MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY JAMES DAIGLE MD (PARTNER/MD)
(337) 662-7290
Entity
Organization
Contact information
Practice address
990 NAPOLEON AVENUE, SUNSET, LA 70584-6100
(337) 662-7290
Mailing address
990 NAPOLEON AVENUE, SUNSET, LA 70584-6100
(337) 662-7290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1943142
—
LA
Enumeration date
10/03/2005
Last updated
11/23/2010
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