Whalio Doctors

NPI 1003810979

Toby D. Broussard, M.D., Apmc

Organisation Surgery Physician Opelousas, LA

Practice location

Address
1270 Attakapas Dr STE 101, Opelousas, LA 70570-6549
Phone
(337) 407-0893
Mailing address
PO Box 1206, Opelousas, LA 70571-1206

Authorised official

Name
Toby D Broussars
Title
Owner
Phone
(337) 407-0893

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 20450 (LA)

Registry record

NPI
1003810979
Entity type
Organization
NPI issued
9 Jun 2005
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.