Organization
PEDIATRIC ASSOCIATES OF DENHAM SPRINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN EDWARD ZGANJAR MD (OWNER/MD)
(225) 933-0090
Entity
Organization
Contact information
Practice address
1211 N RANGE AVE, SUITE D, DENHAM SPRINGS, LA 70726-2428
(225) 933-0090
(225) 665-0055
Mailing address
1211 N RANGE AVE, SUITE D, DENHAM SPRINGS, LA 70726-2428
(225) 933-0090
(225) 665-0055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022406
LA
363LP0200X
Pediatric Nurse Practitioner
AP07255
LA
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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