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Organization
WARREN J. DEGATUR, JR. MD INC
Active
Organization
WARREN J. DEGATUR, JR. MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA FOSTER (MEDICAL RECORDS)
(337) 332-3500
Entity
Organization
Contact information
Practice address
206 CHAMPAGNE BLVD, SUITE A, BREAUX BRIDGE, LA 70517-3700
(337) 332-3500
Mailing address
206 CHAMPAGNE BLVD, SUITE A, BREAUX BRIDGE, LA 70517-3700
(337) 332-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017128
LA
Other
Enumeration date
08/13/2007
Last updated
01/20/2010
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