Organization
BRADLEY J. CHASTANT, II MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY JOHN CHASTANT II M.D. (PHYSICIAN)
(337) 289-8717
Entity
Organization
Contact information
Practice address
461 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 289-8717
(337) 289-8718
Mailing address
461 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 289-8717
(337) 289-8718
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD204845
LA
Other
Enumeration date
09/02/2011
Last updated
05/07/2013
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