Individual
MR. ROBERT GOMANN GENOVESE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1233 WAYNE GILMORE CIR STE 250A, OPELOUSAS, LA 70570-6405
(337) 948-8556
(337) 948-6881
Mailing address
3306 WALNUT DR, OPELOUSAS, LA 70570-6946
(337) 945-4695
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
307277
LA
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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