Organization
CHALMETTE URGENT MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT G CONKLIN M.D. (OWNER)
(504) 309-8928
Entity
Organization
Contact information
Practice address
619 E JUDGE PEREZ DR, CHALMETTE, LA 70043-5260
(504) 309-8928
(504) 309-8954
Mailing address
619 E JUDGE PEREZ DR, CHALMETTE, LA 70043-5260
(504) 309-8928
(504) 309-8954
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD02229
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146661234
UNITED HEALTHCARE
—
01
—
146661234C
BLUECROSS BLUE SHIELD
LA
Enumeration date
08/07/2007
Last updated
05/20/2008
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