Organization
WELCH EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRUCE WALLACE I MD (MEDICAL DIRECTOR)
(318) 448-0221
Entity
Organization
Contact information
Practice address
4300 PARLIAMENT DR, ALEXANDRIA, LA 71303-2721
(318) 448-0221
(318) 448-9731
Mailing address
4300 PARLIAMENT DR, ALEXANDRIA, LA 71303-2721
(318) 448-0221
(318) 448-1419
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
012846
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1798711
—
LA
Enumeration date
06/09/2006
Last updated
07/25/2008
Update your record
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