Organization
IBERVILLE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR A. MCCOY M.D. (MANAGER)
(225) 761-8988
Entity
Organization
Contact information
Practice address
59295 RIVER WEST DR, SUITE D, PLAQUEMINE, LA 70764-6596
(225) 238-0034
(225) 238-0064
Mailing address
59295 RIVER WEST DR, SUITE D, PLAQUEMINE, LA 70764-6596
(225) 238-0034
(225) 238-0064
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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