Individual
MICHAEL J SCREPETIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 4TH ST, SUITE C, ALEXANDRIA, LA 71301-8423
(318) 445-9823
(318) 769-7348
Mailing address
301 4TH ST, BOX 30124, ALEXANDRIA, LA 71301-8423
(318) 445-9823
(318) 769-7348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018528
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-00312
UNITEDHEALTHCARE
—
01
—
080029723
RAILROAD MEDICARE
—
05
—
1918202
—
LA
01
—
1960073
CIGNA
—
Enumeration date
08/12/2006
Last updated
11/30/2011
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