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Individual

DR. DAVID W MCMANUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-2000
Mailing address
PO BOX 34935, DEPT 199, SEATTLE, WA 98124-1935
(800) 950-1027

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
019456
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04866
BCBS
LA
05
1900940
LA
Enumeration date
06/14/2006
Last updated
11/07/2012
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