Individual
DEEB SUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 E MAIN ST, NEW IBERIA, LA 70560-4031
(337) 374-7620
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
14015R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1439967
—
LA
Enumeration date
05/15/2006
Last updated
06/25/2008
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