Organization
DAVID J JEWELL APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J JEWELL MD (OWNER/MD)
(337) 981-0305
Entity
Organization
Contact information
Practice address
901 WILSON ST, LAFAYETTE, LA 70503-2439
(337) 981-0305
Mailing address
PO BOX 61950, LAFAYETTE, LA 70596-1950
(337) 261-5151
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1369837
—
LA
Enumeration date
10/04/2005
Last updated
02/28/2008
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