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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