Organization
NORTHSIDE HIGH SCHOOL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM F BARROW (CHIEF EXECUTIVE OFFICER)
(337) 289-2999
Entity
Organization
Contact information
Practice address
301 DUNAND ST, LAFAYETTE, LA 70501-2215
(337) 261-6995
Mailing address
301 DUNAND ST, LAFAYETTE, LA 70501-2215
(337) 261-6995
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/14/2007
Last updated
05/05/2011
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