Premier Pediatrics

NPI #1376527143 in Alexandria, Louisiana

Provider Information

NPI Number: 1376527143
Entity Type: Organization
Organization Name: Premier Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Dec 5, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1405 METRO DR
Address 2: BLDG L
City: Alexandria
State: Louisiana
ZIP Code: 71301-3448
Phone: (318) 767-1543

Authorized Official

Name: JOHN L CLARK JR., MD
Title: OWNER
Phone: (318) 767-1543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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