Individual
BRADEN CONRAD DESPOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 TRAVIS ST STE 201, LAFAYETTE, LA 70503-2447
(337) 233-9199
(337) 233-9198
Mailing address
PO BOX 53381, LAFAYETTE, LA 70505-3381
(337) 233-9199
(337) 233-9198
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
016181
LA
207Q00000X
Family Medicine Physician
Primary
016181
LA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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