Organization
SURGICAL CLINIC OF LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C TREEN JR. M.D. (CEO)
(504) 349-6860
Entity
Organization
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SOUTH 860, MARRERO, LA 70072-3151
(504) 349-6860
Mailing address
1111 MEDICAL CENTER BLVD, SOUTH 860, MARRERO, LA 70072-3151
(504) 349-6860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
436248
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1440582
—
LA
Enumeration date
07/21/2006
Last updated
02/29/2008
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