Individual
ANDRE PAUL BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5053
Mailing address
120 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 769-7779
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
300911
LA
Other
Enumeration date
04/27/2011
Last updated
05/24/2016
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