SOUTHERN PEDIATRIC CLINIC

NPI # 

Practice Address:

905 E 7Th Ave , Suite 9

Oakdale, LA, 71463-2797

Practice Phone:

318-215-8150

Practice Fax:

318-215-8151

License Number:

MD12866R

License State:

LA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Health Service

Taxonomy Code:

261QH0100X

Updated by NPPES on 11/3/2015. You can view the original data set for NPI # 1104296417 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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SOUTHERN PEDIATRIC CLINIC's

CMS CPT® coding data

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SOUTHERN PEDIATRIC CLINIC's

CMS prescription data

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