Individual
MICAH M. PIPPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
821 ELLIOTT ST, DEPT OF FAMILY MEDICINE, ALEXANDRIA, LA 71301-7732
(318) 441-1030
Mailing address
821 ELLIOTT ST, DEPT OF FAMILY MEDICINE, ALEXANDRIA, LA 71301-7732
(318) 441-1030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
303212
LA
Other
Enumeration date
04/16/2013
Last updated
07/15/2016
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