Organization
MEDICAL ARTS ADULT AND PEDIATRIC UROLOGY, LLC
Active
Organization
MEDICAL ARTS ADULT AND PEDIATRIC UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONADELVERT C. SUAREZ M.D. (OWNER)
(985) 542-1317
Entity
Organization
Contact information
Practice address
42421 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403-2405
(985) 542-1317
(985) 542-1958
Mailing address
42421 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403-2405
(985) 542-1317
(985) 542-1958
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443298
—
LA
Enumeration date
02/23/2007
Last updated
07/18/2013
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