Individual
DR. STEVEN B VIDRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 E LINCOLN RD, VILLE PLATTE, LA 70586-3431
(337) 363-8033
(337) 363-4571
Mailing address
417 E LINCOLN RD, VILLE PLATTE, LA 70586-3431
(337) 363-8033
(337) 363-4571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019490
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1378046
—
LA
Enumeration date
01/31/2007
Last updated
07/03/2024
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