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Organization

VILLE PLATTE PEDIATRICS PA

Active
Other names
Ville Platte Pediatrics Corp
Organization subpart
No

Provider details

NPI number
Authorized official
DODANIM FRANCISCO ALTAMIRANO (MD)
(337) 363-3560
Entity
Organization

Contact information

Practice address
504 JACK MILLER ROAD, SUITE 3, VILLE PLATTE, LA 70586
(337) 363-3560
(337) 363-3507
Mailing address
504 JACK MILLER ROAD, SUITE 3, VILLE PLATTE, LA 70586
(337) 363-3560
(337) 363-3507

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11525R
LA
261QR1300X
Rural Health Clinic/Center
Primary
193914
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1671177
LA
01
241402006
CONTROLLED DANG SUB
LA
Enumeration date
09/07/2006
Last updated
03/07/2023
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