Individual
MR. DAVID HENRY SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2647 S SAINT ELIZABETH BLVD STE 219, GONZALES, LA 70737-5020
(225) 647-8511
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 200194
LA
Other
Enumeration date
07/09/2008
Last updated
04/07/2021
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