Northeast Renal & Dialysis, a Professional Medical Corporation
Northeast Renal & Dialysis, a Professional Medical Corporation is a Nephrology Physician in Monroe, Louisiana. Licensed in Louisiana. Registered with an NPI since 2014.
- Licensed in
- LA
- In the registry since
- 2014
Practice location Address checks out
1908 Royal AveMonroe, LA 71201-5724
Phone: (318) 325-5435
Fax: (318) 325-8852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nephrology Physician (primary) | Taxonomy 207RN0300X · Licence MD.204452 (LA) |
|---|
Record details
| NPI number | 1578989505 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Pruett — President/Owner · (318) 325-5435 |
| NPI enumerated | March 14, 2014 |
| Last updated in NPPES | October 22, 2014 |
| Mailing address | 1908 Royal Ave, Monroe, LA 71201-5724 |
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