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Individual

DR. JAMES V BROUSSARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
604 N. ACADIA RD STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(985) 447-2497
Mailing address
604 NORTH ACADIA STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(985) 447-2497

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
018177
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1370258
LA
Enumeration date
09/22/2006
Last updated
03/28/2024
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