Organization
AFFINITY HEALTH GROUP, LLC
Active
Organization
AFFINITY HEALTH GROUP, LLC
Active
Other names
Affinity Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE BREARD (VICE PRESIDENT)
(318) 361-0900
Entity
Organization
Contact information
Practice address
2516 BROADMOOR BLVD STE 3B, MONROE, LA 71201-2988
(318) 807-1390
(318) 807-1394
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-9997
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
07/21/2021
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