Organization
WALDHEIM FAMILY PRACTICE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J SANDERS JR. M.D. (PHYSICIAN)
(985) 893-0486
Entity
Organization
Contact information
Practice address
77173 HIGHWAY 21, COVINGTON, LA 70435-4011
(985) 893-0486
(985) 893-0349
Mailing address
77173 HIGHWAY 21, COVINGTON, LA 70435-4011
(985) 893-0486
(985) 893-0349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017339
LA
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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