Individual
DR. ROSS J THIBODAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
726 N ACADIA RD STE 3400, THIBODAUX, LA 70301
(985) 449-4656
(985) 449-2532
Mailing address
726 N ACADIA RD STE 3400, THIBODAUX, LA 70301-5011
(985) 449-4656
(985) 449-2532
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD.207890
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2332324
—
LA
Enumeration date
04/08/2013
Last updated
07/30/2019
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