Individual
DR. PHILIP S PERRET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
614 W SAINT MARY BLVD, LAFAYETTE, LA 70506-3538
(337) 232-6435
(337) 232-0152
Mailing address
614 W SAINT MARY BLVD, LAFAYETTE, LA 70506-3538
(337) 232-6435
(337) 232-0152
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4507R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1197301
—
LA
01
—
13616
BLUE CROSS OF LA
—
Enumeration date
07/19/2007
Last updated
07/19/2007
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