Organization
OLIVER ROAD MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT L FASI (OFFICE MANAGER)
(318) 329-9202
Entity
Organization
Contact information
Practice address
920 OLIVER RD STE A, MONROE, LA 71201-5702
(318) 329-9202
(318) 329-1258
Mailing address
920 OLIVER RD STE A, MONROE, LA 71201-5702
(318) 329-9202
(318) 329-1258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
LA
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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