Organization
JOHN S. MCCABE, M.D., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S MCCABE M.D. (PRESIDENT)
(318) 445-9306
Entity
Organization
Contact information
Practice address
301 4TH ST, BOX 30150, ALEXANDRIA, LA 71301-8423
(318) 445-9306
(318) 445-9307
Mailing address
301 4TH ST, BOX 30150, ALEXANDRIA, LA 71301-8423
(318) 445-9306
(318) 445-9307
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD05196R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1359262
—
LA
Enumeration date
09/14/2009
Last updated
09/14/2009
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