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Organization

RONALD ARMAND JENKINS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD ARMAND JENKINS M.D. (OWNER)
(337) 983-0700
Entity
Organization

Contact information

Practice address
345 DOUCET RD, STE., 240, LAFAYETTE, LA 70503-3488
(337) 983-0700
Mailing address
345 DOUCET RD, STE., 240, LAFAYETTE, LA 70503-3488
(337) 983-0700

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05892R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1053312074
NPI#
LA
05
1341843
LA
01
5314586
AETNA
LA
Enumeration date
05/22/2006
Last updated
08/22/2020
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