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General, Orthopedic, Thoracic, Vascular Surgery
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RIVER PARK ASC LLC

Surgery Yellow Pages

Vidalia, Louisiana

Provider NPI: 1144216847

Organization Information:
Organization Name:  RIVER PARK ASC LLC


Practice Location:
107 FRONT ST STE.1100 VIDALIA, LA 71373 US
Tel: 318-336-2218  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
LA128

Other Provider Identifiers:

IssuerNumberStateType
03027576MS05
BLUE CROSS PROVIDER NUMBE190020258ZLA01
1464015LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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