Organization
ALEXANDRIA GASTROENTEROLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH DRAKE HOLLIER MD (PRESIDENT OF ORGANIZATION MD)
(318) 473-8188
Entity
Organization
Contact information
Practice address
301 4TH ST, SUITE 1-A, ALEXANDRIA, LA 71301-8423
(318) 473-8188
(318) 473-8682
Mailing address
301 4TH ST, BOX 30146, ALEXANDRIA, LA 71301
(318) 473-8188
(318) 473-8682
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1799696
—
LA
01
—
43127
BLUE CROSS BLUE SHEILD GR
LA
01
—
CN3551
MEDICARE ID
LA
Enumeration date
11/23/2005
Last updated
02/11/2011
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