Individual
DAVID SCOTT BRONAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 LINDBERG DR, SLIDELL, LA 70458-8062
(985) 641-8008
(985) 246-5646
Mailing address
636 GAUSE BLVD, SUITE 300, SLIDELL, LA 70458-2007
(985) 641-8008
(985) 246-5646
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.026761
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1046132
—
LA
Enumeration date
11/29/2006
Last updated
06/10/2011
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