Organization
VETERANS ADMINISTRATION MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN CHARLES FITZGERALD M.D. (PHYSICIAN)
(318) 473-0010
Entity
Organization
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
6156 SCHULTZ ROAD, CROWLEY, LA 70526
(337) 783-6038
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
12019R
LA
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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