Breast Center Of Acadiana, A Professional Medical Corporation

NPI 1366439549 - Radiology - 2085R0202X

NPI Details
NPI 1366439549
Enumeration Date 10/03/2005
Last Updated 12/17/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GARY L. GARY
Position OWNER/MD
Phone (337) 504-5000
Fax (337) 504-5646
Practice Location
935 CAMELLIA BLVD
STE 100
LAFAYETTE LA, 70508-6961, US
Phone (337) 504-5000
Fax (337) 504-5646
Business Location
935 CAMELLIA BLVD.
STE 100
LAFAYETTE LA, 70508, US
Phone (337) 456-7479
Fax (337) 504-5646
Toxanomy
Taxonomy Code 2085R0202X
License State
License Number
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According to our database, Breast Center Of Acadiana, A Professional Medical Corporation NPI is 1366439549, taxonomy code is 2085R0202X Breast Center Of Acadiana, A Professional Medical Corporation physically located at 935 Camellia Blvd, Lafayette LA, 70508-6961. NPI Number 1033115704 has the healthcare provider type.

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1366439549 NPI number is provided on an as is basis without warranty of any kind. 1366439549 is maintained by the National Plan & Provider Enumeration System. The contents of Breast Center Of Acadiana, A Professional Medical Corporation are for informational purposes only.