# DANA GRBIC, MD, A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407865496
- **Authorized official:** DR. DANA GRBIC M.D. (PRESIDENT/SECRETARY/TREASURER)
- **Authorized official phone:** (337) 281-0007

## Contact information

- **Practice address:** 3149 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7209
- **Practice address phone:** (337) 261-0734
- **Practice address fax:** (337) 261-5471
- **Mailing address:** 3149 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7209
- **Mailing address phone:** (337) 261-0734
- **Mailing address fax:** (337) 261-5471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD.200378 | LA | Yes |

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 10/01/2017