Organization
JAIME M. CORDOVA, M.D., APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME M CORDOVA M.D. (PHYSICIAN)
(337) 332-2428
Entity
Organization
Contact information
Practice address
1442 E BRIDGE ST, BREAUX BRIDGE, LA 70517-3406
(337) 332-2428
(337) 332-6977
Mailing address
1442 E BRIDGE ST, BREAUX BRIDGE, LA 70517-3406
(337) 332-2428
(337) 332-6977
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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