Individual
SY QUOC DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
4801 MCHUGH ROAD, SUITE C, ZACHARY, LA 70791
(225) 658-9996
(225) 658-9970
Mailing address
PO BOX 975, ZACHARY, LA 70791-0975
(225) 658-9970
(225) 658-9970
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
LA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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