Organization
PRAIRIEVILLE EMERGENCY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY-KATHERINE MOORE (EXECUTIVE DIRECTOR)
(225) 755-9765
Entity
Organization
Contact information
Practice address
37358 MARKET PLACE DR., PRAIRIEVILLE, LA 70769
(225) 755-9765
Mailing address
37358 MARKET PLACE DR., PRAIRIEVILLE, LA 70769
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
11/01/2018
Last updated
05/14/2021
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