ENDOSCOPY CENTER OF MONROE, INC.
Ambulatory Health at 6 St, Monroe, LA

License number
Louisiana 38
Category
Ambulatory Health
Type
Endoscopy
Owner
Name: MR. ANDREW W. WALDO
Title: ADMINISTRATOR
Phone: (318) 327-3107
Address
Address
316 S 6Th St, Monroe, LA 71201
National Provider ID: 1417957796
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ENDOSCOPY CENTER OF MONROE, INC

Monroe, LA

Industry:
Medical Doctor's Office
Registration:
Dec 19, 1988
Phone:
(318) 325-2634 (Phone), (318) 325-0717 (Fax)
Addresses:
611 Grammont, Monroe, LA 71201 (Physical)
316 So 6, Monroe, LA 71201 (Mailing)
State ID:
34319544D
Business type:
Business Corporation
Administrations:
David R. Raines (Director, President, Owner), 611 Grammont St, Monroe, LA 71201 (Physical),Henry Hinkle (Vice-President), 611 Grammont St, Monroe, LA 71201 (Physical),Robert L. Seegers (Secretary),...
Agent:
Donald L. Kneipp,1401 Hudson Ln, Monroe, LA 71201 (Physical)
SIC6:
801102 - Sports Medicine & Injuries
Company size:
30

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