Organization
SURGICAL GROUP A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT BYRNES O'BRIEN M.D. (PRESIDENT)
(337) 364-7226
Entity
Organization
Contact information
Practice address
602 N LEWIS ST, STE 100, NEW IBERIA, LA 70563-2093
(337) 364-7226
(337) 364-7238
Mailing address
602 N LEWIS ST, STE 100, NEW IBERIA, LA 70563-2093
(337) 364-7226
(337) 364-7238
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1554821
—
LA
Enumeration date
06/17/2008
Last updated
09/18/2008
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