Organization
NRMC PHYSICIAN IPA INC
Active
Parent organization
NRMC PHYSICIAN IPA INC
Other names
NRMC ENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
NRMC PHYSICIAN IPA INC
Authorized official
WILLIAM BRADFORD MCCORMICK (CFO)
(318) 214-4350
Entity
Organization
Contact information
Practice address
601 KEYSER AVE, NATCHITOCHES, LA 71457-6020
(318) 214-5770
(318) 214-4630
Mailing address
PO BOX 2475, NATCHITOCHES, LA 71457-2475
(318) 214-5770
(318) 214-4630
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
06/26/2020
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