Stacey Wayne Mayeaux MD

NPI 1013986892 - Family Medicine - 207Q00000X

NPI Details
NPI 1013986892
Gender Male
Enumeration Date 03/15/2006
Last Updated 04/29/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
OPELOUSAS LA, 70570-6499, US
Phone (337) 678-3755
Fax (337) 678-3757
Business Location
OPELOUSAS LA, 70571-0008, US
Phone (337) 678-3755
Fax (337) 585-7899
Taxonomy Code 207Q00000X
License State Louisiana
License Number 24994
Remove 1013986892 NPI Number

According to our database, Dr. Stacey Wayne Mayeaux MD NPI is 1013986892, taxonomy code is 207Q00000X and license number is 24994, license state is located at Louisiana. Stacey Wayne Mayeaux MD physically located at 519 E Prudhomme St, Opelousas LA, 70570-6499. NPI Number Stacey Wayne Mayeaux MD has the Individual type.

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1013986892 NPI number is provided on an as is basis without warranty of any kind. 1013986892 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey Wayne Mayeaux MD are for informational purposes only.