Bpc Mandeville
NPI #1437776036 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1437776036
- Entity Type
- Organization
- Organization Name
- Bpc Mandeville
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 30, 2020
- Last Updated
- Jan 19, 2021
Practice Location
- Address
- 1796 W CAUSEWAY APPROACH
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70471-2955
- Phone
- (985) 626-1671
Authorized Official
- Name
- DR. MARK RICHARD, DC
- Title
- OWNER
- Phone
- (985) 626-1671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Physical Therapist |
| Nurse Practitioner |
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