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Organization

BRADLEY P CHAMPAGNE, MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SONDRA BERNARD RHIA (OFFICE MANAGER)
(337) 233-0219
Entity
Organization

Contact information

Practice address
102 DRURY LN, LAFAYETTE, LA 70508-5702
(337) 233-0219
(337) 233-2418
Mailing address
102 DRURY LN, LAFAYETTE, LA 70508-5702
(337) 233-0219
(337) 233-2418

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
206155
LA

Other

Enumeration date
08/01/2017
Last updated
07/21/2022
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