Individual
DR. GEORGE DOUGLAS SAGRERA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 W SAINT PETER ST, NEW IBERIA, LA 70560-3633
(337) 364-8196
(337) 367-5258
Mailing address
602 W SAINT PETER ST, NEW IBERIA, LA 70560-3633
(337) 364-8196
(337) 367-5258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008438
LA
208D00000X
General Practice Physician
008438
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1062138
—
LA
Enumeration date
04/28/2006
Last updated
10/04/2024
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