Individual
DR. RAYMOND E POLIQUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2913 BETIN AVE, MONROE, LA 71201-7257
(318) 651-9914
(318) 410-0680
Mailing address
PO BOX 7495, MONROE, LA 71211-7495
(318) 388-1250
(318) 388-0948
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10687R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1989215
—
LA
Enumeration date
08/17/2006
Last updated
08/02/2013
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