Organization
DR DANIEL G DUPREE LTD PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA D BEARB (OFFICE MANAGER)
(337) 235-6886
Entity
Organization
Contact information
Practice address
1245 S COLLEGE RD, BLDG 5, LAFAYETTE, LA 70503-2917
(337) 235-6886
(337) 235-6892
Mailing address
1245 S COLLEGE RD, BLDG 5, LAFAYETTE, LA 70503-2917
(337) 235-6886
(337) 235-6892
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.012704
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1185426
—
LA
Enumeration date
06/03/2016
Last updated
06/03/2016
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