Organization
PATRICK A JUNEAU, III, MD, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TABITHA SAYLES (CREDENTIALING SPECIALIST)
(864) 642-0884
Entity
Organization
Contact information
Practice address
1103 KALISTE SALOOM RD STE 206, LAFAYETTE, LA 70508-5784
(337) 267-1319
Mailing address
PO BOX 3328, BENTONVILLE, AR 72712-7712
(864) 642-0884
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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