Organization
RENICK P WEBB MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENICK P WEBB M.D. (PRESIDENT)
(318) 427-3300
Entity
Organization
Contact information
Practice address
221 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 443-9773
(318) 443-9799
Mailing address
221 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 443-9773
(318) 443-9799
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
017368
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1440094
—
LA
Enumeration date
10/25/2005
Last updated
10/31/2011
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