Organization
RIVERBEND THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN M DOLL (PRESIDENT/OWNER)
(985) 290-0017
Entity
Organization
Contact information
Practice address
417 N. WOODLAKE WAY, PEARL RIVER, LA 70452
(985) 290-0017
Mailing address
417 N. WOODLAKE WAY, PEARL RIVER, LA 70452
(985) 290-0017
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10431335#J6D52
LA
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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