Organization
PHYSICIAN GROUP OF LOUISIANA INC
Active
Other names
STEWARD MEDICAL GROUP OF LOUISIANA
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN A DEMKE (CEO)
(615) 467-1072
Entity
Organization
Contact information
Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 329-4200
(318) 329-4710
Mailing address
PO BOX 24573, BELFAST, ME 04915-4496
(855) 660-0300
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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