Organization
MID CITY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT E RITCH MD (PARTNER)
(318) 221-2225
Entity
Organization
Contact information
Practice address
2225 LINE AVE, SHREVEPORT, LA 71104
(318) 221-2225
(318) 459-2955
Mailing address
2225 LINE AVE, SHREVEPORT, LA 71104
(318) 221-2225
(318) 459-2955
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1794481
—
LA
Enumeration date
07/29/2006
Last updated
08/25/2010
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