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Individual

DR. DAVID JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7991
Mailing address
PO BOX 53127, LAFAYETTE, LA 70505-3127
(337) 289-7991

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
07959R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1389684
LA
Enumeration date
10/03/2005
Last updated
07/30/2008
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