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Individual

DR. JAMES B. GODCHAUX JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
856 KALISTE SALOOM RD STE B, LAFAYETTE, LA 70508-4395
(337) 593-9500
Mailing address
112 QUEEN OF PEACE DR, LAFAYETTE, LA 70508-5383
(337) 261-0786

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15349R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1575437
LA
01
P00327378
RAILROAD RETIREMENT MEDIC
LA
Enumeration date
08/31/2005
Last updated
01/06/2011
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