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Individual

DR. STEVE S WYBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3983 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0758
(337) 407-4512
Mailing address
PO BOX 69, OPELOUSAS, LA 70571-0069
(337) 407-4512

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
019978
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
MD.019978
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1389820
LA
Enumeration date
05/31/2005
Last updated
05/10/2011
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