Individual
MR. JAMES BRIAN BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
201 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 769-3000
Mailing address
201 4TH ST, SUITE 5-B, ALEXANDRIA, LA 71301-8421
(318) 769-3501
(318) 769-3502
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.200161
LA
Other
Enumeration date
10/07/2008
Last updated
01/18/2022
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