Warren J. Degatur, Jr. Md Inc

NPI 1568654689 - Family Medicine - 207Q00000X

NPI Details
NPI 1568654689
Enumeration Date 08/13/2007
Last Updated 01/20/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RAMONA RAMONA
Position MEDICAL RECORDS
Phone (337) 332-3500
Fax
Practice Location
206 CHAMPAGNE BLVD
SUITE A
BREAUX BRIDGE LA, 70517-3700, US
Phone (337) 332-3500
Fax
Business Location
206 CHAMPAGNE BLVD
SUITE A
BREAUX BRIDGE LA, 70517-3700, US
Phone (337) 332-3500
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number 017128
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According to our database, Warren J. Degatur, Jr. Md Inc NPI is 1568654689, taxonomy code is 207Q00000X and license number is 017128, license state is located at Louisiana. Warren J. Degatur, Jr. Md Inc physically located at 206 Champagne Blvd, Breaux Bridge LA, 70517-3700. NPI Number 1033115704 has the healthcare provider type.

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1568654689 NPI number is provided on an as is basis without warranty of any kind. 1568654689 is maintained by the National Plan & Provider Enumeration System. The contents of Warren J. Degatur, Jr. Md Inc are for informational purposes only.