Organization
JOHN W MELTON MD & REED A FONTENOT JR MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REED A FONTENOT JR. MD (PRESIDENT)
(337) 477-8861
Entity
Organization
Contact information
Practice address
2016 DAK PARK BLVD, LAKE CHARLES, LA 70601-7828
(337) 477-8861
(337) 477-3092
Mailing address
2016 OAK PARK BLVD, LAKE CHARLES, LA 70601-7828
(337) 477-8861
(337) 477-3092
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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