Organization
SOUTHWEST MEDICAL CENTER MULTI SPECIALTY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M. REMETICH (VP, PHYSICIAN OPERATIONS)
(504) 988-7044
Entity
Organization
Contact information
Practice address
4212 W CONGRESS ST, STE2400D, LAFAYETTE, LA 70506-6765
(337) 981-3088
(337) 981-3087
Mailing address
4212 W CONGRESS ST, STE2400D, LAFAYETTE, LA 70506-6765
(337) 981-3088
(337) 981-3087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1807443
—
LA
01
—
DG9691
RAILROAD MEDICARE
LA
Enumeration date
01/21/2008
Last updated
06/21/2018
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