Organization
CORDOVA FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDY H CORDOVA MD (OWNER)
(318) 377-6500
Entity
Organization
Contact information
Practice address
2 MEDICAL PLAZA PL, MINDEN, LA 71055-3330
(318) 377-6500
(318) 377-6503
Mailing address
2 MEDICAL PLAZA PL, MINDEN, LA 71055-3330
(318) 377-6500
(318) 377-6503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
204318
LA
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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