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Individual

MICHELLE PARDUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
401 11TH ST NE, SPRINGHILL, LA 71075
(318) 539-1700
(318) 539-5688
Mailing address
401 11TH ST NE, SPRINGHILL, LA 71075-4503
(318) 539-1701
(318) 539-4789

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200725
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1071404
LA
05
166411001
AR
01
200725
LSBME
LA
Enumeration date
06/04/2007
Last updated
05/20/2021
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