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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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