Sulphur Pediatric Clinic Medical Corporation

NPI #1821042086 in Sulphur, Louisiana

Provider Information

NPI Number: 1821042086
Entity Type: Organization
Organization Name: Sulphur Pediatric Clinic Medical Corporation
Primary Specialty: Pediatrics
Enumeration Date: May 20, 2006
Last Updated: May 18, 2011

Practice Location

Address: 600 CYPRESS STREET
City: Sulphur
State: Louisiana
ZIP Code: 70663-5052
Phone: (337) 527-6371

Authorized Official

Name: DR. ALBERT W. RICHERT SR., M.D.
Title: CO/OWNER
Phone: (337) 527-6371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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