Organization
PEDICONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIANA MAYO (DIRECTOR OF OPERATIONS)
(255) 667-2777
Entity
Organization
Contact information
Practice address
10130 CROSSING WAY STE 335, DENHAM SPRINGS, LA 70726-5889
(225) 667-2777
(225) 667-0064
Mailing address
10130 CROSSING WAY STE 335, DENHAM SPRINGS, LA 70726-5889
(225) 667-2777
(225) 667-0064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1947172
—
LA
01
—
4505167
SUBMITTER NUMBER
LA
Enumeration date
02/26/2007
Last updated
04/18/2023
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