Organization
IBERIA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN SIMS (OFFICE MANAGER)
(337) 365-0268
Entity
Organization
Contact information
Practice address
295 INDEST ST, NEW IBERIA, LA 70563
(337) 365-0268
(337) 369-6922
Mailing address
295 INDEST ST, NEW IBERIA, LA 70563
(337) 365-0268
(337) 369-6922
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10885R
LA
174400000X
Specialist
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1996629
—
LA
Enumeration date
02/25/2009
Last updated
05/05/2021
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