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Physicians Internal Medicine Medical Oncology

Provider NPI: 1659867265

Organization Information:
Organization is not Subpart
Authorized Official:  LUCIO N GORDAN  PRESIDENT  866-266-0555

Practice Location:
Tel: 225-658-6693  Fax: --

Business Mailing Address:
Tel: 866-266-0555  Fax: 866-266-4999

NPI Information:
NPI: 1659867265
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
Medical Oncology
Internal Medicine
Internal Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207RH0003X





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