Organization
AFFINITY HEALTH GROUP LLC
Active
Other names
The Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L JUSTICE (DIRECTOR OF OPERATIONS)
(318) 807-7875
Entity
Organization
Contact information
Practice address
2516 BROADMOOR BLVD STE 3A, MONROE, LA 71201-2988
(318) 387-9420
(318) 323-8216
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 998-3426
(188) 126-6033
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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