Individual
DR. PHILLIP J SCURRIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 E MAIN ST, NEW IBERIA, LA 70560-4031
(337) 367-1048
(337) 367-0131
Mailing address
PO BOX 9774, NEW IBERIA, LA 70562-9774
(337) 367-1048
(337) 367-0131
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
011438
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123862
—
LA
Enumeration date
05/24/2006
Last updated
03/28/2008
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