West Jefferson Physician Services

NPI #1831266162 in Lafitte, Louisiana

Provider Information

NPI Number
1831266162
Entity Type
Organization
Organization Name
West Jefferson Physician Services
Primary Specialty
Family Medicine
Enumeration Date
Nov 30, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
5140 CHURCH ST
ZIP Code
70067-5256
Phone
(504) 349-6525

Authorized Official

Name
HEIDI A GWINN
Title
CREDENTIALING COORD.
Phone
(504) 349-1297

Specialties & Taxonomy Codes

Specialty
Family Medicine

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