Organization
SIMONEAUX UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER J SIMONEAUX JR. MD (PHYSICIAN)
(985) 448-3055
Entity
Organization
Contact information
Practice address
504 N ACADIA RD, THIBODAUX, LA 70301-4862
(985) 448-3055
(985) 447-5670
Mailing address
504 N ACADIA RD, THIBODAUX, LA 70301-4862
(985) 448-3055
(985) 447-5670
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD025595
LA
Other
Enumeration date
06/23/2006
Last updated
08/22/2020
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