BEAUREGARD PHYSICIAN GROUP, LLC
Medical Practice at Pine St, Deridder, LA

License number
Louisiana MD.09850R
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: MR. DARRELL L KINGHAM I
Title: CFO
Phone: (337) 462-7111
Address
Address
600 S Pine St, Deridder, LA 70634
National Provider ID: 1780814756
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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