Individual
DR. JACOB BARROW DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
606 W 11TH AVE, COVINGTON, LA 70433
(985) 892-3766
Mailing address
606 W 11TH AVE, COVINGTON, LA 70433-3630
(985) 892-3766
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
206660
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04975731
—
MS
05
—
2367692
—
LA
Enumeration date
05/19/2009
Last updated
08/14/2024
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