Organization · Type 2 NPI
Destrehan Medical Clinic
Primary Care Clinic/Center · Destrehan, LA
NPI number
1790876019
Active
Practice location
12604 River Rd
Destrehan, LA 70047-5306
Fax (985) 725-1464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Destrehan
About NPI 1790876019
Destrehan Medical Clinic's National Provider Identifier is 1790876019, issued on Sep 28, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Destrehan, LA. The record was last updated on Jul 21, 2022.