Organization
EMILE D. BROUSSARD, M.D. APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILE D. BROUSSARD MD (OWNER)
(337) 893-4452
Entity
Organization
Contact information
Practice address
204 N MAGDALEN SQ, ABBEVILLE, LA 70510-4645
(337) 289-8972
(337) 289-8970
Mailing address
204 N. MAGDALEN SQUARE, ABBEVILLE, LA 70510-7645
(337) 893-4452
(337) 893-7870
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00239622
RAILROAD
LA
Enumeration date
10/09/2006
Last updated
10/01/2014
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