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Individual

ROBERT FERNANDO ORDONEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7661
(318) 330-7648
Mailing address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7661
(318) 330-7648

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200599
LA
207Q00000X
Family Medicine Physician
Primary
200599
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200599
MEDICAL LICENSE
LA
Enumeration date
11/10/2008
Last updated
12/01/2014
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