Organization
GLENN FIGUEROA MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN ROBERT FIGUEROA M.D. (PRESIDENT)
(318) 255-4076
Entity
Organization
Contact information
Practice address
411 E VAUGHN AVE, SUITE 101, RUSTON, LA 71270-5972
(318) 255-4076
(318) 255-8918
Mailing address
411 E VAUGHN AVE, SUITE 101, RUSTON, LA 71270-5972
(318) 255-4076
(318) 255-8918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11020R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1664197
—
LA
Enumeration date
09/13/2007
Last updated
09/13/2007
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