Organization
REYNARD C ODENHEIMER MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
REYNARD C ODENHEIMER MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAT GAIL KERSCH M.D. (OFFICE MANAGER)
(337) 439-5588
Entity
Organization
Contact information
Practice address
816 W BAYOU PINES DR, LAKE CHARLES, LA 70601-7077
(337) 439-5588
(337) 439-0808
Mailing address
816 W BAYOU PINES DR, LAKE CHARLES, LA 70601-7077
(337) 439-5588
(337) 439-0808
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
020159
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1684821
—
LA
Enumeration date
01/22/2015
Last updated
01/22/2015
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