Individual
DR. JIMMY WILLIAM SKRASEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7991
Mailing address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
MD.207001
LA
207VX0000X
Obstetrics Physician
Primary
MD.207001
LA
Other
Enumeration date
06/25/2014
Last updated
03/17/2018
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