Individual
PAUL BRADLEY DUPONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4020 JACKSON STREET EXT, ALEXANDRIA, LA 71303-2701
(318) 442-4230
(318) 442-9537
Mailing address
4020 JACKSON STREET EXT, ALEXANDRIA, LA 71303-2701
(318) 442-4230
(318) 442-9537
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
978263T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1397997
—
LA
Enumeration date
05/12/2007
Last updated
07/08/2007
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