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Organization

ASCENSION MEDICAL CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN L HOLMES M.D. (GENERAL PRACTIONER)
(225) 647-6636
Entity
Organization

Contact information

Practice address
214 S BURNSIDE AVE STE A, GONZALES, LA 70737-3463
(225) 647-6636
(225) 647-3849
Mailing address
214 S BURNSIDE AVE STE A, GONZALES, LA 70737-3463
(225) 647-6636
(225) 647-3849

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD09828R
LA

Other

Enumeration date
05/29/2008
Last updated
05/29/2008
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