Organization
SURGERY CENTER OF WEST MONROE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND E. HAIK JR. MD (MEDICAL DIRECTOR)
(318) 325-2610
Entity
Organization
Contact information
Practice address
102 REGENCY PL, WEST MONROE, LA 71291-4452
(318) 322-4888
(318) 325-7715
Mailing address
1804 N 7TH ST, WEST MONROE, LA 71291-4414
(318) 325-2610
(318) 325-7715
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
111
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1142565
—
LA
Enumeration date
05/09/2008
Last updated
05/09/2008
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