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Individual

DR. PAUL BRADLEY RACHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
310 DUREL DR, NEW ROADS, LA 70760-2973
(225) 713-2400
(225) 713-2410
Mailing address
310 DUREL DR, NEW ROADS, LA 70760-2973
(225) 713-2400
(225) 713-2410

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017327
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080164516
RAILROAD MEDICARE
LA
05
1360171
LA
Enumeration date
07/28/2005
Last updated
05/21/2021
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