Organization
PHILIP G. PADGETT, AMPC
Active
Other names
WBR Family and Occupational Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP G. PADGETT M.D. (OWNER)
(225) 267-6626
Entity
Organization
Contact information
Practice address
610 N JEFFERSON AVE, PORT ALLEN, LA 70767-2414
(225) 267-6626
(225) 267-5993
Mailing address
610 N JEFFERSON AVE, PORT ALLEN, LA 70767-2414
(225) 267-6626
(225) 267-5993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019597
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1378437
—
LA
01
—
930071021
RRR
LA
Enumeration date
05/22/2007
Last updated
03/07/2023
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