Organization
ST MICHAELS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD TYLER HEBERT MD (OWNER)
(337) 339-3274
Entity
Organization
Contact information
Practice address
2309 E MAIN ST STE 201, NEW IBERIA, LA 70560-4046
(337) 335-0240
Mailing address
715 E MAIN ST, NEW IBERIA, LA 70560-3823
(337) 339-3274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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