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Organization

PARADIGM HEALTH SYSTEM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TOM GRESSAFFA (COO)
(985) 882-4500
Entity
Organization

Contact information

Practice address
64301 HIGHWAY 434, LACOMBE, LA 70445-5411
(985) 882-4500
(985) 882-4501
Mailing address
64301 HIGHWAY 434, LACOMBE, LA 70445-5411
(985) 882-4500
(985) 882-4501

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2084N0400X
Neurology Physician
208VP0014X
Interventional Pain Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6747710001
DME
01
94076534
OCCUPATIONAL BUSINESS LICENSE
LA
Enumeration date
12/04/2012
Last updated
08/26/2014
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