Organization
MINUTE MED CLINIC - PONT DE MOUTON LLC
Active
Other names
MinuteMed
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C REESE FNP (MEMBER MANAGER)
(337) 456-3519
Entity
Organization
Contact information
Practice address
104 BANISTER COURT, SUITE 1C, LAFAYETTE, LA 70507
(337) 456-3519
(337) 205-6272
Mailing address
2851 JOHNSTON ST, LAFAYETTE, LA 70503-3243
(337) 456-3519
(337) 205-6272
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
LA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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