Organization
ACADIANA RADIOLOGY GROUP, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR H GUNDERSON JR. M.D. (CLIENT SUPPORT REP/CREDENTIALING)
(337) 289-2180
Entity
Organization
Contact information
Practice address
611 SAINT LANDRY ST, LAFAYETTE, LA 70506-4627
(337) 289-2180
(337) 289-2677
Mailing address
PO BOX 52545, LAFAYETTE, LA 70505-2545
(337) 289-2180
(337) 289-2677
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1796727
—
LA
Enumeration date
05/18/2006
Last updated
03/28/2008
Update your record
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