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Organization

TRAUMA SPECIALISTS, APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH R MACK M.D. (PRESIDENT)
(225) 665-3500
Entity
Organization

Contact information

Practice address
1567 S RANGE AVE, DENHAM SPRINGS, LA 70726-5201
(225) 665-3500
(225) 665-3518
Mailing address
1567 S RANGE AVE, DENHAM SPRINGS, LA 70726-5201
(225) 665-3500
(225) 665-3518

Taxonomy

Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
14885
LA

Other

Enumeration date
06/22/2007
Last updated
08/22/2020
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