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Individual

DR. BRADLEY J CHASTANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 W PINHOOK RD STE 201, LAFAYETTE, LA 70503-2464
(337) 237-0650
(888) 990-2781
Mailing address
1000 W PINHOOK RD STE 201, LAFAYETTE, LA 70503-2464
(337) 237-0650
(888) 990-2781

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L017239
LA
207YS0123X
Facial Plastic Surgery Physician
L017239
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070007863
RR MED
LA
05
1443727
LA
Enumeration date
07/12/2005
Last updated
07/07/2021
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