Organization
ACADIANA ENDOCRINOLOGY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL G STOUT MD (OWNER)
(504) 615-8742
Entity
Organization
Contact information
Practice address
2730 AMBASSADOR CAFFERY PKWY, 201, LAFAYETTE, LA 70506-5939
(504) 615-8742
Mailing address
2730 AMBASSADOR CAFFERY PKWY, 201, LAFAYETTE, LA 70506-5939
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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