Inpatient Pediatric Services

NPI #1407885791 in Monroe, Louisiana

Provider Information

NPI Number: 1407885791
Entity Type: Organization
Organization Name: Inpatient Pediatric Services
Primary Specialty: Pediatrics
Enumeration Date: Jul 1, 2006
Last Updated: Jul 20, 2007

Practice Location

Address: 3421 MEDICAL PARK DR
City: Monroe
State: Louisiana
ZIP Code: 71203-2355
Phone: (318) 387-3453

Authorized Official

Name: MITRA GREEN, M.D.
Title: PHYSICIAN
Phone: (318) 387-3453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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