Organization
GENERAL VASCULAR THORACIC SURGERY,L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD S KOBER M.D. (OWNER)
(337) 433-4651
Entity
Organization
Contact information
Practice address
641 S. RYAN, LAKE CHARLES, LA 70601
(337) 433-4651
Mailing address
641 S RYAN ST, LAKE CHARLES, LA 70601-5726
(337) 433-4651
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
013236
LA
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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