Organization
TRUDY H SANSON MD A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRUDY H SANSON M.D. (OWNER)
(318) 387-0641
Entity
Organization
Contact information
Practice address
102 THOMAS RD, SUITE 206, WEST MONROE, LA 71291-7366
(318) 387-0641
(318) 387-0645
Mailing address
102 THOMAS RD, SUITE 206, WEST MONROE, LA 71291-7366
(318) 387-0641
(318) 387-0645
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
017870
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1399922
—
LA
Enumeration date
03/27/2007
Last updated
08/04/2010
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