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Organization

NRMC PHYSICIAN IPA INC

Active
Parent organization
NRMC PHYSICIAN IPA INC
Other names
NRMC PULMONOLOGY
Organization subpart
Yes

Provider details

NPI number
Legal business name
NRMC PHYSICIAN IPA INC
Authorized official
WILLIAM BRADFORD MCCORMICK (CFO)
(318) 214-4350
Entity
Organization

Contact information

Practice address
601 KEYSER AVE, NATCHITOCHES, LA 71457-6020
(318) 214-5770
(318) 214-4623
Mailing address
PO BOX 2475, NATCHITOCHES, LA 71457-2475
(318) 214-5770
(318) 214-4623

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Enumeration date
05/10/2018
Last updated
07/15/2020
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