Organization
REGIONAL PHYSICIANS NETWORK
Active
Parent organization
W O MOSS REGIONAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
W O MOSS REGIONAL HOSPITAL
Authorized official
MR. DONALD R. SMITHBURG (CEO)
(337) 475-8429
Entity
Organization
Contact information
Practice address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
(337) 475-8429
Mailing address
PO BOX 4610, LAKE CHARLES, LA 70606-4610
(337) 312-1446
(337) 312-1490
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1948926
—
LA
Enumeration date
01/24/2008
Last updated
09/26/2008
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