Outpatient Medical Nutrition Therapy

NPI #1508856253 in Monroe, Louisiana

Provider Information

NPI Number
1508856253
Entity Type
Organization
Organization Name
Outpatient Medical Nutrition Therapy
Primary Specialty
Clinic/Center
Enumeration Date
Oct 25, 2005
Last Updated
Jul 13, 2007

Practice Location

Address
920 OLIVER ROAD
Address 2
SUITE 1450
City
Monroe
ZIP Code
71201-7529
Phone
(318) 327-6271

Authorized Official

Name
MR. RONALD HOGAN
Title
CFO SR VP
Phone
(318) 327-7369

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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