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Individual

DR. DAVID V. MARAIST JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2848 SOUTH UNION, OPELOUSAS, LA 70570
(337) 942-7567
(337) 948-4993
Mailing address
P.O. BOX 159, OPELOUSAS, LA 70571
(337) 942-7567
(337) 948-4993

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM.200012
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1150100
LA
Enumeration date
05/26/2008
Last updated
02/04/2013
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