SOUTHERN ENDOCRINOLOGY CENTER
Osteopathic Medicine at Medical Park Dr, Monroe, LA

License number
Louisiana 12099R
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Owner
Name: MOHAMMAD MOUSA M.D.
Title: OWNER
Phone: (318) 398-9580
Address
Address
3418 Medical Park Dr SUITE 23, Monroe, LA 71203
National Provider ID: 1629161005
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SOUTHERN ENDOCRINOLOGY CENTER at bizstanding.com

SOUTHERN ENDOCRINOLOGY CENTER, INC

Monroe, LA

Status:
Inactive
Registration:
Sep 22, 2004
Addresses:
3418 Medical Park Dr, Monroe, LA 71203 (Physical)
C/O Mohammad Mousa, Monroe, LA 71203 (Mailing)
State ID:
35782646D
Business type:
Business Corporation
Director:
Md Mohammad Mousa (Director), 3418 Medical Park Dr, Monroe, LA 71203 (Physical)

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