Organization
INTERNAL MEDICINE & PEDIATRIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WARNER SPEEG MD (MEDICAL DIRECTOR)
(225) 774-7320
Entity
Organization
Contact information
Practice address
6516 EAST MYRTLE STREET, BAKER, LA 70714
(225) 774-7320
(225) 774-5432
Mailing address
6516 EAST MYRTLE STREET, BAKER, LA 70714
(225) 774-7320
(225) 774-5432
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443093
—
LA
Enumeration date
10/18/2006
Last updated
08/22/2020
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