Organization
AFFINITY HEALTH GROUP, LLC
Active
Other names
Sampognaro Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE BREARD (EVP)
(318) 361-0900
Entity
Organization
Contact information
Practice address
1 BANCROFT CIR, MONROE, LA 71201-5101
(318) 361-0995
(318) 361-0997
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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