Individual
DR. SCOTT JUDE DOMINGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6289
Mailing address
104 HAMLET LN, LAFAYETTE, LA 70508-6429
(337) 988-5268
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LA024171
LA
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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