Organization
BARIATRIC & ADVANCED SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P VIGLAINCO M.D. (MANAGER)
(985) 446-2524
Entity
Organization
Contact information
Practice address
604 N ACADIA RD, SUITE 406, THIBODAUX, LA 70301-4897
(985) 446-2524
(985) 447-2329
Mailing address
604 N ACADIA RD, SUITE 406, THIBODAUX, LA 70301-4897
(985) 446-2524
(985) 447-2329
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.203566
LA
Other
Enumeration date
03/03/2010
Last updated
05/25/2011
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