Organization
B&L MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ANDREW MONACO MD (MEMBER MANAGER)
(631) 495-5683
Entity
Organization
Contact information
Practice address
1800 IRVING PL, SHREVEPORT, LA 71101-4608
(318) 425-4096
Mailing address
PO BOX 64568, PHOENIX, AZ 85082-4568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/22/2017
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