Organization
JOHN C HILDENBRAND IV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM MARIE LEGENDRE M.B.A. (ADMINISTRATOR)
(985) 625-2200
Entity
Organization
Contact information
Practice address
604 N ACADIA RD, SUITE 508, THIBODAUX, LA 70301-4897
(985) 625-2200
(985) 625-2206
Mailing address
604 N ACADIA RD, SUITE 508, THIBODAUX, LA 70301-4897
(985) 625-2200
(985) 625-2206
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23919
OK
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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