Organization
TOBY D. BROUSSARD, M.D., APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOBY D BROUSSARS M.D. (OWNER)
(337) 407-0893
Entity
Organization
Contact information
Practice address
1270 ATTAKAPAS DR, STE 101, OPELOUSAS, LA 70570-6549
(337) 407-0893
Mailing address
PO BOX 1206, OPELOUSAS, LA 70571-1206
(337) 407-0893
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20450
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1989592
—
LA
Enumeration date
06/09/2005
Last updated
08/22/2020
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