Organization
THE PERKINS PEDIATRIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA T ALSTON DO (OFFICE MANAGER)
(337) 462-6000
Entity
Organization
Contact information
Practice address
614 N PINE ST, DERIDDER, LA 70634-3546
(337) 462-6000
(337) 462-6560
Mailing address
614 N PINE ST, DERIDDER, LA 70634-3546
(337) 462-6000
(337) 462-6560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14134R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1181137
—
LA
05
—
2482530
—
LA
Enumeration date
12/20/2016
Last updated
01/08/2019
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