Organization
WOMAN'S CLINIC OF IBERIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTTHA L COPPAGE M.D. (VICE PRESIDENT)
(337) 364-2383
Entity
Organization
Contact information
Practice address
811 ALBERTSON PKWY, SUITE F, BROUSSARD, LA 70518-5256
(337) 330-2386
Mailing address
2309 EAST MAIN STREET, SUITE 500, NEW IBERIA, LA 70560
(337) 364-2383
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
022088
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1451274
—
LA
Enumeration date
05/01/2013
Last updated
05/06/2013
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