Braden Conrad Despot MD

NPI 1063692481 - Emergency Medicine - 207P00000X

NPI Details
NPI 1063692481
Gender Male
Enumeration Date 11/14/2007
Last Updated 11/14/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
200 TRAVIS ST STE 201
LAFAYETTE LA, 70503-2447, US
Phone (337) 233-9199
Fax (337) 233-9198
Business Location
PO BOX 53381
LAFAYETTE LA, 70505-3381, US
Phone (337) 233-9199
Fax (337) 233-9198
Toxanomy
Taxonomy Code 207P00000X
License State Louisiana
License Number 016181
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According to our database, Braden Conrad Despot MD NPI is 1063692481, taxonomy code is 207P00000X and license number is 016181, license state is located at Louisiana. Braden Conrad Despot MD physically located at 200 Travis St Ste 201, Lafayette LA, 70503-2447. NPI Number Braden Conrad Despot MD has the Individual type.

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1063692481 NPI number is provided on an as is basis without warranty of any kind. 1063692481 is maintained by the National Plan & Provider Enumeration System. The contents of Braden Conrad Despot MD are for informational purposes only.