Organization
WAYNE J PHARO A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
THE HEART CENTER OF LAFOURCHE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE J PHARO M.D. (OWNER)
(985) 448-0649
Entity
Organization
Contact information
Practice address
400 N ACADIA RD, THIBODAUX, LA 70301-4856
(985) 448-0649
(985) 448-0785
Mailing address
400 N ACADIA RD, THIBODAUX, LA 70301-4856
(985) 448-0649
(985) 448-0785
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
016262
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1358614
—
LA
Enumeration date
06/04/2006
Last updated
09/09/2014
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