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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