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Individual

TODD E FOUNTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
(337) 235-8008
Mailing address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
(337) 235-8008

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
343016
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266914500
MN
Enumeration date
01/03/2006
Last updated
09/13/2024
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