Organization
JOHN KALIEB POURCIAU, DPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KALIEB POURCIAU DPM (OWNER)
(337) 546-0740
Entity
Organization
Contact information
Practice address
3521 HIGHWAY 190, STE U, EUNICE, LA 70535-5135
(337) 546-0740
(337) 546-0742
Mailing address
3521 HIGHWAY 190 EAST, STE U, EUNICE, LA 70535-5135
(337) 546-0740
(337) 546-0742
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1198501
—
LA
Enumeration date
06/17/2008
Last updated
04/22/2011
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