Individual
DR. DAVID J JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
935 CAMELLIA BLVD, SUITE 101, LAFAYETTE, LA 70508-7084
(337) 984-2036
Mailing address
PO BOX 61950, LAFAYETTE, LA 70596-1950
(337) 261-5151
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
017286
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1369837
—
LA
Enumeration date
10/04/2005
Last updated
02/10/2011
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