Individual
DR. MARTHA L COPPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2309 E MAIN ST, SUITE G, NEW IBERIA, LA 70560-4046
(337) 367-2001
(337) 365-3050
Mailing address
401 YOUNGSVILLE HWY, SUITE 100, LAFAYETTE, LA 70508-5173
(337) 330-0031
(337) 330-0059
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.022088
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1664847
—
LA
Enumeration date
09/16/2006
Last updated
12/24/2016
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