Organization
PEDIATRIC CLINIC OF WEST MONROE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MALMAY M.D. (PRESIDENT)
(318) 329-8181
Entity
Organization
Contact information
Practice address
104 CONTEMPO AVE, WEST MONROE, LA 71291-5312
(318) 329-8181
(318) 329-8183
Mailing address
104 CONTEMPO AVE, WEST MONROE, LA 71291-5312
(318) 329-8181
(318) 329-8183
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1450979
—
LA
Enumeration date
12/13/2005
Last updated
08/22/2020
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