Organization
STEPHEN GOLDWARE, M.D. A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN GOLDWARE M.D. (SELF)
(337) 456-5500
Entity
Organization
Contact information
Practice address
111 SAINT LOUIS ST, LAFAYETTE, LA 70506-4538
(337) 456-5500
Mailing address
PO BOX 52827, LAFAYETTE, LA 70505-2827
(337) 456-5500
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD.009998
LA
Other
Enumeration date
05/22/2014
Last updated
02/04/2015
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