Individual
DR. MATT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
854 KALISTE SALOOM RD, SUITE C, LAFAYETTE, LA 70508-4367
(337) 232-3353
(337) 232-9304
Mailing address
854 KALISTE SALOOM RD, SUITE C, LAFAYETTE, LA 70508-4367
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1708
LA
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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