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Individual

DR. RAY ANTHONY QUEBEDEAUX JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 W SAINT MARY BLVD STE 210, LAFAYETTE, LA 70506
(337) 470-3080
(337) 470-3099
Mailing address
601 W SAINT MARY BLVD STE 210, LAFAYETTE, LA 70506-3561
(337) 470-3080
(337) 470-3099

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
320678
LA
207QA0505X
Adult Medicine Physician
320678
LA

Other

Enumeration date
04/23/2012
Last updated
05/21/2021
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