Individual
DONALD D DOUSSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 BAYOU PEREZ DR, MADISONVILLE, LA 70447-9799
(504) 568-2318
Mailing address
102 BAYOU PEREZ DR, MADISONVILLE, LA 70447-9799
(504) 568-2318
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
016184
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02176541
—
MS
05
—
1339369
—
LA
Enumeration date
06/02/2006
Last updated
07/11/2008
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