Dr MATTHEW S FONTENOT MD is a male medical professional, specializing in Nephrology. He graduated in 2000 from Louisiana State University School Of Medicine In Shreveport.
COOLIDGE PHYSICIAN SERVICES LLC
1214 COOLIDGE BLVD
LAFAYETTE
LA
705032621
Tel: 3372897991
| Npi | 1013985530 |
| Pac Id | 6800821034 |
| Professional Enrollment Id | I20050927000921 |
| Last Name | FONTENOT |
| First Name | MATTHEW |
| Middle Name | S |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2000 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialty 1 | INTERNAL MEDICINE |
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| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | COOLIDGE PHYSICIAN SERVICES LLC |
| Group Practice Pac Id | 7113156035 |
| Number Of Group Practice Members | 31 |
| Line 1 Street Address | 1214 COOLIDGE BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 705032621 |
| Phone Number | 3372897991 |
| Hospital Affiliation Ccn 1 | 190002 |
| Hospital Affiliation Lbn 1 | LAFAYETTE GENERAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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