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Individual

DR. ROBERT T CASANOVA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1110 DR AC TERRANCE BLVD, SUITE 1, OPELOUSAS, LA 70570-6403
(337) 942-3449
(337) 942-6019
Mailing address
1110 DR AC TERRANCE BLVD, SUITE 1, OPELOUSAS, LA 70570-6403
(337) 942-3449
(337) 942-6019

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
020117
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1398888
LA
Enumeration date
03/23/2006
Last updated
01/26/2010
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