Individual
MRS. SYDNEY RENEE PONTIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2315 E MAIN ST, NEW IBERIA, LA 70560-4031
(337) 364-0441
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
338331
LA
Other
Enumeration date
08/25/2023
Last updated
08/20/2024
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