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Organization

EAR,NOSE AND THROAT SPECIALISTS, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONI SULLIVAN (BILLING)
(318) 322-9882
Entity
Organization

Contact information

Practice address
102 THOMAS RD, SUITE 117, WEST MONROE, LA 71291-7366
(318) 322-9882
(318) 322-2006
Mailing address
102 THOMAS RD, SUITE 117, WEST MONROE, LA 71291-7366
(318) 322-9882
(318) 322-2006

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1441546
LA
01
F8532
BLUE CROSS OF LOUISIANA
LA
Enumeration date
04/09/2007
Last updated
02/04/2014
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