Individual
QUENTIN D FALGOUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 AUDUBON AVE, STE N-5, THIBODAUX, LA 70301-4957
(985) 446-0506
(985) 446-7614
Mailing address
1101 AUDUBON AVE, STE N-5, THIBODAUX, LA 70301-4957
(985) 446-0506
(985) 446-7614
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
010914
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1127264
—
LA
Enumeration date
09/13/2005
Last updated
06/26/2008
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