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Organization

AFFINITY HEALTH GROUP, LLC

Active
Other names
Affinity Ear Nose & Throat Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE BREARD (EXECUTIVE VICE PRESIDENT)
(318) 361-0900
Entity
Organization

Contact information

Practice address
2516 BROADMOOR BLVD, MONROE, LA 71201-2988
(318) 812-1125
(318) 812-1129
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
015594
LA

Other

Enumeration date
06/02/2014
Last updated
04/26/2017
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