Organization · Type 2 NPI
Southern Pediatric Clinic
Health Service Clinic/Center · Oakdale, LA
NPI number
1104296417
Active
Practice location
905 E 7th Ave, Suite 9
Oakdale, LA 71463-2797
Fax (318) 215-8151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | MD12866R (LA) |
Health Service Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1104296417
Southern Pediatric Clinic's National Provider Identifier is 1104296417, issued on Sep 29, 2015. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Oakdale, LA. The record was last updated on Nov 3, 2015.