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Individual

DR. TIMOTHY A VIATOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2308 E MAIN ST, SUITE A, NEW IBERIA, LA 70560-4041
(337) 364-8566
(337) 364-8498
Mailing address
PO BOX 11740, NEW IBERIA, LA 70562-1740
(337) 364-8566
(337) 364-8498

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00026283
AL
207Q00000X
Family Medicine Physician
00026283
AL
207Q00000X
Family Medicine Physician
13863
HI
207Q00000X
Family Medicine Physician
Primary
203257
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801046
LA
Enumeration date
10/11/2005
Last updated
10/06/2021
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