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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