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Individual

DR. GLENN RUTLEDGE STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
607 W BAYOU PKWY, LAFAYETTE, LA 70503-3605
(337) 501-6466
(928) 396-6431
Mailing address
607 W BAYOU PKWY, LAFAYETTE, LA 70503-3605
(337) 501-6466
(928) 396-6431

Taxonomy

Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
2459
AK

Other

Enumeration date
01/11/2007
Last updated
07/08/2007
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