Pediatric Clinic of West Monroe
NPI #1265417141 in West Monroe, Louisiana
Provider Information
- NPI Number
- 1265417141
- Entity Type
- Organization
- Organization Name
- Pediatric Clinic of West Monroe
- Primary Specialty
- Pediatrics
- Enumeration Date
- Dec 13, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 104 CONTEMPO AVE
- City
- West Monroe
- State
- Louisiana
- ZIP Code
- 71291-5312
- Phone
- (318) 329-8181
Authorized Official
- Name
- KIM MALMAY, M.D.
- Title
- PRESIDENT
- Phone
- (318) 329-8181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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