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Organization

MOAB LLC

Active
Parent organization
KEVIN T. SCHLAMP, MD, LLC
Other names
Schlamp Family Medical Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
KEVIN T. SCHLAMP, MD, LLC
Authorized official
BRIDGET VITA (ADMINISTRATOR)
(337) 802-6936
Entity
Organization

Contact information

Practice address
921 1ST AVE, SULPHUR, LA 70663-3424
(337) 527-6385
(337) 527-3527
Mailing address
921 1ST AVE, SULPHUR, LA 70663-3424
(337) 527-6385
(337) 527-3527

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10408R
LA

Other

Enumeration date
04/12/2018
Last updated
04/12/2018
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