Organization
COMPREHENSIVE SURGERY CLINIC, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH C CHUNG MD (OWNER)
(337) 433-1303
Entity
Organization
Contact information
Practice address
4150 NELSON RD, SUITE B6, LAKE CHARLES, LA 70605-4148
(337) 433-1303
(337) 433-4644
Mailing address
4150 NELSON RD, SUITE B6, LAKE CHARLES, LA 70605-4148
(337) 433-1303
(337) 433-4644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
022117
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1496391
—
LA
Enumeration date
09/11/2009
Last updated
09/11/2009
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