Individual
MR. CONWAY PAUL GEOFFROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
400 SOUTH MAIN STREET, SUITE D, ST. MARTINVILLE, LA 70582
(337) 394-3757
(337) 394-3758
Mailing address
400 SOUTH MAIN STREET, SUITE D, ST. MARTINVILLE, LA 70582
(337) 394-3757
(337) 394-3758
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00233
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1567931
—
LA
Enumeration date
12/06/2006
Last updated
01/13/2011
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