Organization
FCC OAKDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVADORE VILLALON M.D. (CLINICAL DIRECTOR)
(318) 335-4466
Entity
Organization
Contact information
Practice address
5050 EAST WHATLEY ROAD, OAKDALE, LA 71463-5050
(318) 335-4466
(318) 215-2135
Mailing address
PO BOX 5050, 5050 EAST WHATLEY ROAD, OAKDALE, LA 71463-5050
(318) 335-4466
(318) 215-2135
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
A80985
CA
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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