Organization · Type 2 NPI
Ascension Medical Clinic, LLC
General Practice Physician · Gonzales, LA
NPI number
1104084938
Active
Practice location
214 S Burnside Ave Ste A
Gonzales, LA 70737-3463
Fax (225) 647-3849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | MD09828R (LA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Gonzales
About NPI 1104084938
Ascension Medical Clinic, LLC's National Provider Identifier is 1104084938, issued on May 29, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gonzales, LA. The record was last updated on May 29, 2008.