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Organization
PEDIATRIC GENERAL SURGERY APMC
Active
Organization
PEDIATRIC GENERAL SURGERY APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH W FALTERMAN MD (OWNER)
(337) 983-2468
Entity
Organization
Contact information
Practice address
4650 AMBASSADOR CAFFERY PKWY, STE 202, LAFAYETTE, LA 70508-6926
(337) 983-2468
(337) 983-2471
Mailing address
PO BOX 81932, LAFAYETTE, LA 70598-1932
(337) 983-2468
(337) 983-2471
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
NULL
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
04/20/2008
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