Organization
SOUTHSIDE PEDIATRICS. A.P.M.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS BRUNO MD (PRESIDENT)
(337) 839-2238
Entity
Organization
Contact information
Practice address
811 ALBERTSON PKWY STE A, BROUSSARD, LA 70518-5256
(337) 839-2238
Mailing address
811 ALBERTSON PKWY STE A, BROUSSARD, LA 70518-5256
(337) 839-2238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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