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Organization

RANDY HEAD, MD, APMC

Active
Other names
MONROE REGIONAL MEDICAL CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDY W HEAD I M.D. (OWNER/PHYSICIAN)
(318) 387-3888
Entity
Organization

Contact information

Practice address
1470 GARRETT RD, MONROE, LA 71202-3913
(318) 387-3888
(318) 324-8967
Mailing address
1470 GARRETT RD, MONROE, LA 71202-3913
(318) 387-3888
(318) 324-8967

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022410
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022410
STATE LICENSE
LA
05
1444987
LA
Enumeration date
11/01/2006
Last updated
04/20/2008
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