Organization
ROLANDPONARSKIATPROFESSIONALCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND PONARSKI MD (INTERNALMEDINICEPHYSICIAN)
(318) 343-6780
Entity
Organization
Contact information
Practice address
487 ROWLAND DR, MONROE, LA 71203-8545
(318) 343-6780
Mailing address
487 ROWLAND DR, MONROE, LA 71203-8545
(318) 343-6780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD09892R
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1967777
—
LA
Enumeration date
06/09/2008
Last updated
06/09/2008
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