Organization
ALEXANDRIA GASTROENTEROLOGY ASSOCIATES INC
Active
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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