Organization
SOUTH LOUISIANA SURGICAL ASSOCIATION, LLC
Active
Organization
SOUTH LOUISIANA SURGICAL ASSOCIATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD W DAUTERIVE JR. M.D. (M.D.)
(337) 369-9309
Entity
Organization
Contact information
Practice address
1100 ANDRE ST STE 101, NEW IBERIA, LA 70563-2159
(337) 369-9309
(337) 365-8455
Mailing address
1100 ANDRE ST STE 101, NEW IBERIA, LA 70563-2159
(337) 369-9309
(337) 365-8455
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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