Organization
LA PLACE DERMATOLOGY CLINIC A PROFESSIONAL MEDICAL CORP
Active
Other names
LaPlace Dermatology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK P MURPHY M.D. (M.D.)
(985) 652-7191
Entity
Organization
Contact information
Practice address
398 BELLE TERRE BLVD, LAPLACE, LA 70068
(985) 652-7191
Mailing address
398 BELLE TERRE BLVD, LAPLACE, LA 70068
(985) 652-7191
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
0-10905
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1145351
—
LA
Enumeration date
05/04/2007
Last updated
02/01/2012
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