Organization
SUMMIT OB GYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHOOD OLATUNDE OLATINWO MD (PHYSICIAN)
(318) 238-4010
Entity
Organization
Contact information
Practice address
655 BIENVILLE CIR, NATCHITOCHES, LA 71457-5744
(318) 238-4010
Mailing address
PO BOX 2478, NATCHITOCHES, LA 71457-2478
(251) 545-7378
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
203547
LA
Other
Enumeration date
02/19/2010
Last updated
03/11/2010
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