Organization
GREGORY C. MAIDOH, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY C. MAIDOH M.D. (CEO-PHYSICIAN)
(985) 876-9113
Entity
Organization
Contact information
Practice address
855 BELANGER ST, SUITE 205, HOUMA, LA 70360-4463
(985) 876-9113
(985) 868-9336
Mailing address
855 BELANGER ST, SUITE 205, HOUMA, LA 70360-4463
(985) 876-9113
(985) 868-9336
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
11345R
LA
Other
Enumeration date
05/16/2007
Last updated
10/19/2007
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