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Organization

BRADLEY R DOWDEN MD APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRADLEY R DOWDEN MD (PRESIDENT)
(337) 291-1162
Entity
Organization

Contact information

Practice address
601 W SAINT MARY BLVD, SUITE 210, LAFAYETTE, LA 70506-3568
(337) 291-1162
(337) 231-6943
Mailing address
601 W SAINT MARY BLVD, SUITE 210, LAFAYETTE, LA 70506-3568
(337) 291-1162
(337) 231-6943

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
201631
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1016462
LA
Enumeration date
11/19/2010
Last updated
11/19/2010
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