Organization
CLINTON A NETHERLAND, MD APMC
Active
Other names
CLINTON A NETHERLAND, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON A NETHERLAND MD (PRESIDENT)
(318) 556-3333
Entity
Organization
Contact information
Practice address
510 S WASHINGTON ST, BASTROP, LA 71220-5033
(318) 556-3333
(318) 283-5141
Mailing address
510 S WASHINGTON ST, BASTROP, LA 71220-5033
(318) 556-3333
(318) 283-5141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104108
—
LA
Enumeration date
12/10/2007
Last updated
12/10/2007
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