Organization
R. MOLLIE A. JOHN, M.D., APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R. MOLLIE A. JOHN MD. (PRESIDENT)
(318) 387-1437
Entity
Organization
Contact information
Practice address
2701 BRIERFIELD DR, MONROE, LA 71201-3048
(318) 387-1437
(318) 322-2685
Mailing address
2701 BRIERFIELD DR, MONROE, LA 71201-3048
(318) 387-1437
(318) 322-2685
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
10383R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1989258
—
LA
Enumeration date
12/29/2006
Last updated
07/19/2010
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