Individual
DR. EDGAR PAUL BREAUX III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
917 COOLIDGE BLVD, LAFAYETTE, LA 70503-2433
(337) 237-5774
(337) 237-4939
Mailing address
917 COOLIDGE BLVD, LAFAYETTE, LA 70503-2433
(337) 237-5774
(337) 237-4939
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
013363
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309516
—
LA
Enumeration date
05/24/2006
Last updated
07/13/2007
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