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Individual

STEPHEN M PERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
439 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 269-0963
(337) 269-0553
Mailing address
439 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 269-0963
(337) 269-0553

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD.012751
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1160202
LA
01
826103109
RAIL ROAD MEDICARE
LA
Enumeration date
11/28/2006
Last updated
08/14/2017
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