Individual
DR. BRYAN G. SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 COOLIDGE BLVD, SUITE 300, LAFAYETTE, LA 70503-2636
(337) 289-0042
(337) 289-0043
Mailing address
PO BOX 52743, LAFAYETTE, LA 70505-2743
(337) 289-0042
(337) 289-0043
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.020522
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962848
—
LA
Enumeration date
07/12/2005
Last updated
02/25/2013
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