Medical Association of Northeast Louisiana Inc.
NPI #1023185220 in West Monroe, Louisiana
Provider Information
- NPI Number
- 1023185220
- Entity Type
- Organization
- Organization Name
- Medical Association of Northeast Louisiana Inc.
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Nov 30, 2006
- Last Updated
- Jan 9, 2012
Practice Location
- Address
- 102 THOMAS RD
- Address 2
- SUITE 103
- City
- West Monroe
- State
- Louisiana
- ZIP Code
- 71291-7365
- Phone
- (318) 387-1946
Authorized Official
- Name
- ASSAD HUSEIN MOUHAFFEL, M.D.
- Title
- OWNER
- Phone
- (318) 387-1946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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