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Individual

EDISON JAMES FORET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1022 BELANGER ST, HOUMA, LA 70360-4412
(985) 868-1561
(985) 868-5795
Mailing address
1022 BELANGER ST, HOUMA, LA 70360-4412
(985) 868-1561
(985) 868-5795

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD200323
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1628280
LA
Enumeration date
03/24/2006
Last updated
07/30/2007
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