Organization
DR PHILLIP AND VERA SMITH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY R LEDET (OFFICE MANAGER)
(225) 644-8671
Entity
Organization
Contact information
Practice address
12320 HIGHWAY 44, SUITE 2A, GONZALES, LA 70737-2202
(225) 644-8671
(225) 644-6427
Mailing address
12320 HIGHWAY 44, SUITE 2A, GONZALES, LA 70737-2202
(225) 644-8671
(225) 644-6427
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1621
LA
111N00000X
Chiropractor
Primary
369
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1951781
—
LA
Enumeration date
01/25/2011
Last updated
03/21/2012
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