Organization
PEDIATRIC SPECIALTIES APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT M. GUTIERREZ M.D. (PHYSICIAN)
(337) 981-9110
Entity
Organization
Contact information
Practice address
4540 AMBASSADOR CAFFERY PKWY, STE C 200, LAFAYETTE, LA 70508-6928
(337) 981-9110
Mailing address
PO BOX 52843, LAFAYETTE, LA 70505-2843
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
11023R
LA
Other
Enumeration date
12/05/2006
Last updated
09/04/2007
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