Organization
AFFINITY HEALTH GROUP, LLC
Active
Other names
Internal Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE BREARD (EXECUTIVE VICE PRESIDENT)
(318) 361-0900
Entity
Organization
Contact information
Practice address
2516 BROADMOOR BLVD, MONROE, LA 71201-2988
(318) 998-0353
(318) 998-0357
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
013918
LA
Other
Enumeration date
12/08/2014
Last updated
04/27/2017
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