Organization
UROLOGY CLINIC OF TANGIPAHOA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH VINCENT KIDD III M.D. (OWNER)
(985) 542-7766
Entity
Organization
Contact information
Practice address
2101 ROBIN AVE, SUITE 1, HAMMOND, LA 70403-5772
(985) 542-7766
(985) 542-1754
Mailing address
2101 ROBIN AVE, SUITE 1, HAMMOND, LA 70403-5772
(985) 542-7766
(985) 542-1754
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD03442R
LA
Other
Enumeration date
03/26/2008
Last updated
09/02/2010
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