Individual
RANDY JAMES DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
990 NAPOLEON AVE, SUNSET, LA 70584-6100
(337) 662-5248
(337) 662-5391
Mailing address
990 NAPOLEON AVE, SUNSET, LA 70584-6100
(337) 662-5248
(337) 662-5391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023059
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1490792
—
LA
Enumeration date
07/28/2005
Last updated
07/23/2007
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