Individual
DR. EMILE DORE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 NORTH MAGDALEN SQUARE, ABBEVILLE, LA 70510
(337) 893-4452
(337) 893-7870
Mailing address
204 N. MAGDALEN SQUARE, ABBEVILLE, LA 70510-7645
(337) 893-4452
(337) 893-7870
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
19843
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922404
—
LA
Enumeration date
01/20/2006
Last updated
10/01/2014
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