Bariatric & Advanced Surgical Valid NPI
Organization · Surgery Physician · Thibodaux, LA
- NPI
- 1679896732
- Type
- Organization (Type 2)
- Primary specialty
- Surgery Physician (Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208600000X
- License number
- MD.203566 (LA)
- Enumerated
- 2010-03-03
- Last updated
- 2011-05-25
Practice location
604 N Acadia Rd, Suite 406
Thibodaux, LA 70301-4897
(985) 446-2524