Individual
BRANDON R BROUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 CHEROKEE ROSE LN STE B, COVINGTON, LA 70433-7244
(985) 871-1721
(985) 871-4049
Mailing address
131 CHEROKEE ROSE LN STE B, COVINGTON, LA 70433-7244
(985) 871-1721
(985) 871-4049
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
330447
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
08/02/2022
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