Organization
PARADOX ENTERTAINMENT, LLC
Active
Other names
Paradox, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN DAVID INGRAM MD (OWNER/MD)
(310) 717-8542
Entity
Organization
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6000
Mailing address
107 E SHANKLAND AVE, JENNINGS, LA 70546-4709
(866) 546-6643
(337) 824-4199
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.201213
LA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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