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Individual

DAVID A SISAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
855 BELANGER ST, SUITE 100, HOUMA, LA 70360
(985) 876-5451
(985) 876-2025
Mailing address
855 BELANGER ST, SUITE 100, HOUMA, LA 70360
(985) 876-5451
(985) 876-2025

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
06691R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1349054
LA
Enumeration date
11/27/2006
Last updated
07/08/2007
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