Church Point Medical Clinic LLC
NPI #1114144888 in Church Point, Louisiana
Provider Information
- NPI Number
- 1114144888
- Entity Type
- Organization
- Organization Name
- Church Point Medical Clinic LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Apr 20, 2007
- Last Updated
- Jun 21, 2011
Practice Location
- Address
- 731 S MAIN ST
- Address 2
- SUITE A
- City
- Church Point
- State
- Louisiana
- ZIP Code
- 70525-4109
- Phone
- (337) 684-0911
Authorized Official
- Name
- DR. MARCELO POLANCO, M.D.
- Title
- OWNER
- Phone
- (337) 684-0911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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