Individual
DR. BRADLEY JOHN CHASTANT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
461 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 289-8717
(337) 289-8718
Mailing address
461 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 289-8717
(337) 289-8718
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
204845
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2008
Last updated
05/07/2013
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