Organization
JASON CORMIER MD PROFESSIONAL MEDICAL CORPORATION
Active
Organization
JASON CORMIER MD PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CORMIER M.D. (OWNER)
(337) 235-7743
Entity
Organization
Contact information
Practice address
4906 AMBASSADOR CAFFERY PKWY, SUITE 1302, LAFAYETTE, LA 70508-6962
(337) 235-7743
Mailing address
PO BOX 82441, LAFAYETTE, LA 70598-2441
(337) 235-7743
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
203951
LA
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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