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Organization

HEALTHSPERE MANAGEMENT GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHAD DOMANGUE (MBR)
(985) 892-8934
Entity
Organization

Contact information

Practice address
872 BEHRMAN HWY, GRETNA, LA 70056-4546
(985) 892-8937
Mailing address
PO BOX 1991, MANDEVILLE, LA 70470-1991
(985) 892-8934

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
05/09/2016
Last updated
05/09/2016
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