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Organization

GPN MARKSVILLE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SAMUEL D HUCKABEE (CEO)
(318) 469-1132
Entity
Organization

Contact information

Practice address
4231 HIGHWAY 1192, MARKSVILLE, LA 71351-4711
(318) 253-8611
Mailing address
PO BOX 721974, NORMAN, OK 73070-8500
(318) 253-8611

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
05/04/2015
Last updated
05/08/2015
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