Individual
DEXTER PAUL GUIDRY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4212 W CONGRESS ST, SUITE 3200, LAFAYETTE, LA 70506-6765
(337) 981-3546
(337) 988-4298
Mailing address
PO BOX 60475, LAFAYETTE, LA 70596-0475
(337) 706-1500
(337) 988-3059
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05118
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001295
—
LA
Enumeration date
03/06/2007
Last updated
07/13/2007
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