Victor Theriault Md

NPI 1164500906 - Family Medicine - 207Q00000X

NPI Details
NPI 1164500906
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VICTOR VICTOR
Position PRESIDENT
Phone (985) 732-4853
Fax
Practice Location
712 WILLIS AVE
BOGALUSA LA, 70427-3004, US
Phone (985) 732-4853
Fax
Business Location
712 WILLIS AVE
BOGALUSA LA, 70427-3004, US
Phone (985) 732-4853
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1164500906 NPI Number
 

According to our database, Victor Theriault Md NPI is 1164500906, taxonomy code is 207Q00000X Victor Theriault Md physically located at 712 Willis Ave, Bogalusa LA, 70427-3004. NPI Number 1033115704 has the healthcare provider type.

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1164500906 NPI number is provided on an as is basis without warranty of any kind. 1164500906 is maintained by the National Plan & Provider Enumeration System. The contents of Victor Theriault Md are for informational purposes only.