Organization
PMA MEDICAL TREATMENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE T PATRON (OPERATING MANAGER)
(504) 782-8267
Entity
Organization
Contact information
Practice address
613 WILLIAMS BLVD, KENNER, LA 70062-7635
(504) 441-5555
(504) 455-4357
Mailing address
613 WILLIAMS BLVD, KENNER, LA 70062-7635
(504) 441-5555
(504) 441-5550
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
01/09/2012
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