Individual
DR. ROBERT G BROUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4228 HOUMA BLVD, SUITE 110, METAIRIE, LA 70006-3000
(504) 455-3434
(504) 455-5477
Mailing address
4228 HOUMA BLVD, SUITE 110, METAIRIE, LA 70006-3000
(504) 455-3434
(504) 455-5477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
019015
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1373001
—
LA
Enumeration date
09/20/2006
Last updated
07/22/2008
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