Organization
BEAUREGARD FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DAVID DOBBINS MD (DOCTOR)
(337) 463-3387
Entity
Organization
Contact information
Practice address
325 W 8TH ST, DERIDDER, LA 70634-5505
(337) 463-3387
(949) 862-5301
Mailing address
325 W 8TH ST, DERIDDER, LA 70634-5505
(337) 463-3387
(949) 862-5301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2342533
—
LA
Enumeration date
12/13/2013
Last updated
12/13/2013
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