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Affinity Health Group, LLC

Internal Medicine in Monroe, LA. Organization (NPI-2).

NPI number1316352677
StatusActive
Last updated in NPPESJun 25, 2014

Details

NPI
1316352677
Entity type
Organization (NPI-2)
Legal business name
Affinity Health Group, LLC
Organization subpart
No
Enumeration date
Jun 25, 2014
Last updated
Jun 25, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Other names

  • Sampognaro Internal Medicine (Doing Business As)

Practice location

1 Bancroft Cir
Monroe, LA 71201-5101

Phone 318-361-0995 · Fax 318-361-0997

Mailing address

130 Desiard St
Suite 355
Monroe, LA 71201-7319

Phone 318-807-7875 · Fax 318-812-6603

Authorized official

Mike Breard
Evp
3183610900

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