Richard K. Broussard M.D.

NPI 1639245798 - Internal Medicine - 207RG0100X

NPI Details
NPI 1639245798
Gender Male
Enumeration Date 11/28/2006
Last Updated 08/06/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
439 HEYMANN BLVD
LAFAYETTE LA, 70503-2616, US
Phone (337) 269-0963
Fax (337) 269-0553
Business Location
439 HEYMANN BLVD
LAFAYETTE LA, 70503-2616, US
Phone (337) 269-0963
Fax (337) 269-0553
Toxanomy
Taxonomy Code 207RG0100X
License State Louisiana
License Number 018918
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According to our database, Richard K. Broussard M.D. NPI is 1639245798, taxonomy code is 207RG0100X and license number is 018918, license state is located at Louisiana. Richard K. Broussard M.D. physically located at 439 Heymann Blvd, Lafayette LA, 70503-2616. NPI Number Richard K. Broussard M.D. has the Individual type.

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1639245798 NPI number is provided on an as is basis without warranty of any kind. 1639245798 is maintained by the National Plan & Provider Enumeration System. The contents of Richard K. Broussard M.D. are for informational purposes only.