Organization
ALEXANDRIA WOMENS CENTER A MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN RICHARD AUCOIN M.D. (VICE PRESIDENT/TREASURER)
(318) 443-7222
Entity
Organization
Contact information
Practice address
3304 MASONIC DRIVE, SUITE 4001, ALEXANDRIA, LA 71301-9998
(318) 443-7222
(318) 443-7641
Mailing address
P.O. BOX 13318, SUITE 410, ALEXANDRIA, LA 71315-9998
(318) 443-7222
(318) 443-7641
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1363961
—
LA
05
—
1489301
—
LA
05
—
1492183
—
LA
05
—
1917664
—
LA
Enumeration date
01/31/2007
Last updated
10/10/2019
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