Individual
HAMID ALIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 W 6TH ST, DERIDDER, LA 70634-4902
(337) 463-8556
(337) 463-8561
Mailing address
PO BOX 730, DERIDDER, LA 70634-0730
(337) 463-8556
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
332651
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2016
Last updated
08/11/2022
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